Active NPI
Hair Boutique Hub, LLC
- Prosthetic/Orthotic Supplier
- North Little Rock, AR
National Provider Identifier
1962397315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.