Kyla Kristine Grant, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

216132 Issued in AR

Practice address

7301 Rogers Ave FL 4
Fort Smith, AR 72903-4100

Phone

(479) 314-4900

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Appello Health and Wellness Clinic, LLC

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1215773262
  Medicare reassignment Care Compare group
• Icp Arkansas Aco Billing LLC

  • Clinical Nurse Specialist
  • Maumelle, AR
  • NPI 1679157838
  Medicare reassignment NPD
• Integrated Care Professionals, LLC

  • Clinical Nurse Specialist
  • Little Rock, AR
  • NPI 1164762662
  Medicare reassignment NPD
• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731
  Medicare reassignment NPD
• SHC Medical Partners of Arkansas, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1821830795
  Medicare reassignment NPD
• Springdale- Bentonville HBP Services, LLC

  • Neonatal-Perinatal Medicine Physician
  • Bentonville, AR
  • NPI 1811762701
  Medicare reassignment NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• Washington Regional Medicorp, Inc.

  • PACE Provider Organization
  • Springdale, AR
  • NPI 1366929846
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1982276150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE FL 4",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 Mid Cities Dr",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124020",
            "country_code": "US",
            "telephone_number": "844-215-0731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KYLA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "216132",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "216132",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "216132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Leanne Graham, D.C.
• Mickey Graham, MHPP
• Rachael Ann Graham
• Melanie Anne Gramling, APRN
• Autumn Renee' Grant
• Timothy Lee Grant, MHPP
• Nancy Graves, QBHP
• Sheila Kay Graves, PTA
• Brittany Gray
• Carlton Gray, QBHP

• Gerontology Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Gerontology Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.