Active NPI
Kyala Poole, FNP
- Family Nurse Practitioner
- Forest Hill, MD
National Provider Identifier
1912832528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R255257
- Practice address
- 2004 Rock Spring Rd
Forest Hill, MD 21050-2607 - Phone
- (443) 640-4524
- NPI assigned
- Jun 15, 2026
- Last updated
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R255257 | MD | Primary |
Addresses
Primary practice location
2004 Rock Spring Rd
Forest Hill, MD 21050-2607
Mailing address
4623 Olympia Ave
Beltsville, MD 20705-1803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R255257 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1912832528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 OLYMPIA AVE",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 ROCK SPRING RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502607",
"telephone_number": "443-640-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "KYALA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R255257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.