Organization Active NPI

Hair Boutique Hub, LLC

  • Prosthetic/Orthotic Supplier
  • North Little Rock, AR
National Provider Identifier
1962397315
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HAIR BOUTIQUE HUB, LLC
Practice address
4550 John F Kennedy Blvd Ste D
North Little Rock, AR 72116-7364
Phone
(501) 580-5644
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Nakiya Haney
Title
Owner/Member
Phone
(501) 508-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4550 John F Kennedy Blvd Ste D
North Little Rock, AR 72116-7364

Mailing address

C/O 1601 North Shackleford Road Apt 312
Little Rock, AR 72211

National Provider Directory

National Provider Directory

Locations

4550 John F Kennedy Blvd
Ste D
North Little Rock, AR 72116
Phone (501) 580-5644

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1962397315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O 1601 NORTH SHACKLEFORD ROAD APT 312",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 JOHN F KENNEDY BLVD STE D",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167364",
            "telephone_number": "501-580-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR BOUTIQUE HUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "NAKIYA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "501-508-0498"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.