J'NICOLE MANAGEMENT COMPANY LLC. (NPI# 1194208611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194208611 |
| Entity Type | Organization |
| Organization Name | J'NICOLE MANAGEMENT COMPANY LLC. |
| Other Organization Name | HELLO BEAUTIFUL MASTECTOMY BOUTIQUE |
| Practice Address |
4701 Westwood Ave Ste A Little Rock AR 72204-8272 |
| Practice Telephone | 5013531123 |
| Mailing Telephone | 5013531123 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | JAMIE WASHINGTON (OWNER) |
| Authorized Official Telephone | 5013531123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Hello Beautiful Mastectomy Boutique | Doing Business As Name - Organization |
| J'Nicole Salounge & Hair Loss Boutique | Doing Business As Name - Organization |
| Street Address |
4701 WESTWOOD AVE STE A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-8272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1770697484 | Little Rock Prosthetics Inc. | Prosthetic/Orthotic Supplier | 424 N University Ave Ste 1, Little Rock, AR 72205-3266 | 2006-08-18 |
| 1215912779 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 625 N University Ave, Little Rock, AR 72205-2917 | 2005-12-07 |
| 1427042308 | Horton's Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 5220 W 12th St, Little Rock, AR 72204-1857 | 2005-09-07 |
| 1154322261 | Barbara Graves Intimate Fashions | Prosthetic/Orthotic Supplier | 10301 N Rodney Parham Rd, Little Rock, AR 72227-4832 | 2005-08-10 |
| 1225200629 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 424 N University Ave Ste 1, Little Rock, AR 72205 | 2008-03-26 |
| 1912117219 | Contourmed Clinic of Arkansas, LLC | Prosthetic/Orthotic Supplier | 9500 Kanis Rd Ste 501, Little Rock, AR 72205-6389 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1760721971 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 820 Professional Acres Dr, Jonesboro, AR 72401-4340 | 2013-02-07 |
| 1245575570 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 | 2012-11-27 |
| 1306129747 | Hortons Orthotic Lab Inc | Prosthetic/Orthotic Supplier | 605 W Commerce Dr, Bryant, AR 72022-7510 | 2011-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.