Organization Active NPI

Allegiant Wellness and Testosterone Replacement, Inc.

Doing business as Allegiant Wellness and Testosterone Replacement Hot Springs

  • Primary Care Clinic/Center
  • Little Rock, AR
National Provider Identifier
1912430018
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALLEGIANT WELLNESS AND TESTOSTERONE REPLACEMENT, INC.
Doing business as
Allegiant Wellness and Testosterone Replacement Hot Springs
Practice address
11121 N Rodney Parham Rd Ste 2a
Little Rock, AR 72212-4158
Phone
(501) 503-9955
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Dr. Jennifer L Walker, DNP, AG-ACNP, TNCC
Title
President
Phone
(501) 503-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11121 N Rodney Parham Rd Ste 2a
Little Rock, AR 72212-4158

Mailing address

11121 N Rodney Parham Rd Ste 2a
Little Rock, AR 72212-4158
Phone (501) 503-9955

Other names 1

  • Allegiant Wellness and Testosterone Replacement Hot Springs Doing business as

National Provider Directory

National Provider Directory

Locations

11121 N Rodney Parham Rd
Ste 2A
Little Rock, AR 72212
Phone (501) 225-0111

1500 Macon Dr
Ste D7
Little Rock, AR 72211

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1912430018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 2A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124158",
            "telephone_number": "501-503-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 N RODNEY PARHAM RD STE 2A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124158",
            "telephone_number": "501-503-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT WELLNESS AND TESTOSTERONE REPLACEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-503-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, AG-ACNP, TNCC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiant Wellness and Testosterone Replacement Hot Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.