Active NPI
Traci Marlene Little, PA-C
- Physician Assistant
- Burlington, NC
National Provider Identifier
1437424868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07946
- Practice address
- 2287 May Dr
Burlington, NC 27215-5350 - Phone
- (336) 269-0252
- NPI assigned
- Mar 19, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 8168 | NC | |
| Emergency Medicine Physician | 207P00000X | 0010-07946 | NC | |
| Physician Assistant | 363A00000X | 0010-07946 | NC | Primary |
Addresses
Primary practice location
2287 May Dr
Burlington, NC 27215-5350
Mailing address
PO Box 344
Winston Salem, NC 27102-0344
Phone (336) 716-2255
Other practice location 1
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 716-2255
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8168 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437424868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271020344",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2287 MAY DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155350",
"telephone_number": "336-269-0252"
}
],
"practiceLocations": [
{
"address_1": "1240 Huffman Mill Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272158700",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE",
"first_name": "TRACI",
"middle_name": "MARLENE",
"name_prefix": "Dr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "8168",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "0010-07946",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.