Organization Active NPI

Laser Beauty & Skin Care, Inc

  • Registered Nurse
  • Fayetteville, AR
National Provider Identifier
1922990993
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
LASER BEAUTY & SKIN CARE, INC
Practice address
2828 E Millennium Dr Ste 1
Fayetteville, AR 72703-6555
Phone
(479) 927-9955
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Jacqueline Michelle Lovelady, RN,BSN
Title
President
Phone
(479) 927-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2828 E Millennium Dr Ste 1
Fayetteville, AR 72703-6555

Mailing address

2828 E Millennium Dr Ste 1
Fayetteville, AR 72703-6555
Phone (479) 927-9955

National Provider Directory

National Provider Directory

Locations

2828 E Millennium Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 927-9955

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1922990993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 E MILLENNIUM DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036555",
            "telephone_number": "479-927-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 E MILLENNIUM DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036555",
            "telephone_number": "479-927-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER BEAUTY & SKIN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-927-9955",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.