Individual provider Active NPI

Misty Dawn Tramel, DC

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1700426152
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16247 Issued in AR
Practice address
1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232
Phone
(870) 972-0444
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16247 AR Primary

Addresses

Primary practice location

1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232

Mailing address

1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232
Phone (870) 972-0444

Other practice location 1

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228001255 AR Practitioner - Chiropractic 9739516949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality ChiropracticGroup PAC ID 6305289794, 2 clinicians

Practice addresses (Care Compare)

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic Chiropractor CurrentSince Jan 2, 2024 Accepting new patients

Locations

1411 Marketplace Dr
Ste B
Jonesboro, AR 72401
Phone (870) 523-2225

1122 Malcolm Ave
Newport, AR 72112
Phone (870) 523-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1700426152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MARKETPLACE DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015232",
            "telephone_number": "870-972-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARKETPLACE DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015232",
            "telephone_number": "870-972-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Malcolm Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123506",
            "country_code": "US",
            "telephone_number": "870-523-2225",
            "fax_number": "870-523-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAMEL",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.