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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2017
- 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
- Dr. Jennifer L Walker, DNP, AG-ACNP, TNCC
- Title
- President
- Phone
- (501) 503-9955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- All-American Care of Little Rock
- Allay Healthcare LLC
- Stephanie Allbritton
- Allcare Specialty Pharmacy LLC (Allcare Specialty Pharmacy)
- Allegiance Specialty Hospital of Little Rock, LLC
- Christina Lynn Allen-Doyle, APRN
- Angel Allen
- Carla Allen, PHARM.D.
- Christy Denise Allen, MS,CCC-SLP
- Claire M Allen, CRNA
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.