Active NPI
Rooted Health Hormones & Medspa LLC
- Family Medicine Physician
- Conway, AR
National Provider Identifier
1649006941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROOTED HEALTH HORMONES & MEDSPA LLC
- Practice address
- 1120 Hogan LN
Conway, AR 72034-8119 - Phone
- (501) 261-0179
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ladonna Walker, APRN
- Title
- Owner
- Phone
- (479) 880-6148
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1120 Hogan LN
Conway, AR 72034-8119
Mailing address
1120 Hogan LN Ste B2
Conway, AR 72034-8216
Phone (479) 880-6148
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033841226 | Other | AR | NPI |
| 1578976908 | Other | AR | NPI |
National Provider Directory
National Provider DirectoryLocations
1120 Hogan Ln
Conway, AR 72034
Phone (501) 261-0179
1120 Hogan Ln
Ste B2
Conway, AR 72034
Phone (479) 880-6148
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769212800000",
"number": "1649006941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 HOGAN LN STE B2",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348216",
"telephone_number": "479-880-6148",
"fax_number": "479-765-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 HOGAN LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348119",
"telephone_number": "501-261-0179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEALTH HORMONES & MEDSPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2026-01-24",
"certification_date": "2026-01-24",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "LADONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-880-6148",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1033841226",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578976908",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.