Traci Heffernan, MS, CCC-A

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

277 Issued in CO

Practice address

2053 N Delbert Rd
Franktown, CO 80116-9231

Phone

(303) 898-9416

Fax

(303) 783-2547

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2010.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1104953041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801161011",
            "telephone_number": "303-898-9416",
            "fax_number": "303-783-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 N DELBERT RD",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801169231",
            "telephone_number": "303-898-9416",
            "fax_number": "303-783-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "TRACI",
        "credential": "MS, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Val Dean, M.D.
• Exceptional Pediatric Therapy, LLC
• Franktown Family Medicine, LLC
• Franktown Fire Protection District
• Nakoma Garcia, MS, LPC
• Brittany Hogg
• Denise Hostetler, C.N.I.M.
• Illuminate Community Recovery Services
• Illuminate Community Recovery Services
• Illuminate Recovery Services

• All providers in Franktown, CO
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.