Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manuel Heredia, APRN

Individual provider Athletic Trainer · NPI 1154366961

Manuel Heredia, APRN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2014, 12 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-6562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence A004183 (AR)
Athletic Trainer Taxonomy 2255A2300X · Licence AT 203 (AR)

Record details

NPI number1154366961
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESSeptember 25, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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