Active NPI
Tracy Anne Haselow, M.D.
- Psychiatry Physician
- Little Rock, AR
National Provider Identifier
1124285630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-7634
- Practice address
- 4224 Shuffield Dr
Little Rock, AR 72205-7211 - Phone
- (501) 526-8200
- Fax
- (501) 526-5296
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-7634 | AR | Primary |
Addresses
Primary practice location
4224 Shuffield Dr
Little Rock, AR 72205-7211
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
2200 Fort Roots Dr
116F/NLR
North Little Rock, AR 72114-1709
Phone (501) 257-3131
Other practice location 2
4301 W Markham St # 568
Little Rock, AR 72205-7101
Phone (501) 526-8200
Other names 1
- Tracy Anne Evans
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling Clinic PLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- De Queen, AR
- NPI 1902501281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1124285630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 SHUFFIELD DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057211",
"telephone_number": "501-526-8200",
"fax_number": "501-526-5296"
}
],
"practiceLocations": [
{
"address_1": "2200 Fort Roots Dr",
"address_2": "116F/NLR",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721141709",
"country_code": "US",
"telephone_number": "501-257-3131",
"fax_number": "501-257-3164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 568",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-526-8200",
"fax_number": "501-526-5296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASELOW",
"first_name": "TRACY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-7634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "EVANS",
"middle_name": "ANNE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.