Aminata Traore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E1919 Issued in AR

Practice address

2200 Fort Roots Dr BLDG 170
North Little Rock, AR 72114-1709

Phone

(501) 257-2362

NPI assigned

Aug 31, 2006

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outreach Health Services,Inc.

  dba Jasper Medical Clinic

  • Health Maintenance Organization
  • Heidelberg, MS
  • NPI 1255521480
  NPD (past)
• Outreach Health Services,Inc.

  • Community Health Clinic/Center
  • Shubuta, MS
  • NPI 1548359565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1477665917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR BLDG 170",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR BLDG 170",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAORE",
        "first_name": "AMINATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043140",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156533001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01634767",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Denise Torrence, BSW, MHPP
• Blake Towell, APRN
• Tomeka Townsend
• Brooklyn M Trammell
• My Hong Tran, DDS
• Traveling Phlebotomy Services LLC
• Larika C Travis
• Treehouse Children's Therapy Corp.
• Brandon Trevino
• Shamkia Chantile Trimble, M.S., M.A.

• Family Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.