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
Mailing address4301 W Markham St # 783, Little Rock, AR 72205-7101

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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