Kyla Danielle Hargraves, APRN
Nurse Practitioner, Family in Okeechobee, FL. Individual provider (NPI-1).
NPI number1053965764
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1053965764
- Entity type
- Individual (NPI-1)
- Name
- Kyla Danielle Hargraves
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Jul 31, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11002701 | FL | Yes |
Practice location
204 Se Park StOkeechobee, FL 34972-2967
Phone 863-763-1107
Mailing address
204 Se Park StOkeechobee, FL 34972-2967
Phone 863-763-1107
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Family Nurse Practitioner providers in Okeechobee · All 534 providers in Okeechobee
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