Organization Active NPI

Rooted Health Hormones & Medspa LLC

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1649006941
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 24, 2026

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

Authorized official

Name
Ladonna Walker, APRNNPI 1770088445
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1033841226OtherARNPI
1578976908OtherARNPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.