Traci L. Elliff, A.P.R.N.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A03361 ANP Issued in AR

Practice address

12600 Cantrell Rd
#200
Little Rock, AR 72223-1604

Phone

(501) 581-1212

Fax

(501) 712-1400

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1740202282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WEATHERWOOD DR",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588816",
            "telephone_number": "479-414-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 CANTRELL RD",
            "address_2": "#200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231604",
            "telephone_number": "501-581-1212",
            "fax_number": "501-712-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIFF",
        "first_name": "TRACI",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AR",
            "license": "M01019",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03361 ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154125799",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Ahmed Soliman Elkalashy
• Dylan Elkington-Stauss
• Wayne D Elkins, LCSW
• Ell Pathology Lab, LLC
• Brook Etchieson Ellenbrand, DPT
• Alesia Vinee' Ellington
• Douglas E. Elliott, M.D.
• Ebone La Quesa Elliott, LMSW
• Kizzy Elliott
• Naomi L Elliott, LCSW

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.