Traci A Kiernan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15628 Issued in AR

Practice address

12911 Cantrell Rd
Ste 4
Little Rock, AR 72223-1701

Phone

(501) 224-1224

Fax

(501) 224-1230

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Traci A Bishop Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Natural State Health Center, LLCGroup PAC ID 4082800818, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Natural State Health Center, LLC

  • Chiropractor
  • Little Rock, AR
  • NPI 1912141730
  Medicare reassignment Care Compare group NPD Authorized official
• Natural State Integrative Medicine, P.a.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1669938684
  NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1689812844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD",
            "address_2": "STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-1224",
            "fax_number": "501-224-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD",
            "address_2": "STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-1224",
            "fax_number": "501-224-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "TRACI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "BISHOP",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kidschoice Therapeutic Services
• Krista Grace Kidwell, SLP
• Kidz Palace Therapy LLC
• Kidz Palace Therapy LLC
• Katherine Elizabeth Kiernan-Shafi, APRN
• Michael E. Kiersey, CRNA
• John Kierstead
• David J Kiessling, DPM
• Kyle K Kifer, DC
• Charla Nicole Kight, LAC

• Chiropractor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.