Active NPI
Traci Elizabeth Byrd, ATC, CSCS
- Athletic Trainer
- Little Rock, AR
National Provider Identifier
1386791747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 255
- Practice address
- 10301 Kanis Rd
Little Rock, AR 72205-6205 - Phone
- (501) 786-7953
- Fax
- (501) 604-3220
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 255 | AR | Primary |
Addresses
Primary practice location
10301 Kanis Rd
Little Rock, AR 72205-6205
Mailing address
13215 Laurel Oaks Dr
Little Rock, AR 72211-3118
Phone (501) 786-2878
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 |
|---|---|---|---|
| AT 255 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386791747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 LAUREL OAKS DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113118",
"telephone_number": "501-786-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056205",
"telephone_number": "501-786-7953",
"fax_number": "501-604-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "TRACI",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "ATC, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "AT 255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.