Wild & Rooted Nutrition Co. LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WILD & ROOTED NUTRITION CO. LLC

Practice address

825 Great Northern Blvd Ste 331
Helena, MT 59601-3392

Phone

(406) 792-2876

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Kandon Lee Lewis, MS, RD, LNNPI 1871211656

Title

Owner, Dietitian

Phone

(406) 600-2259

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kandon Lee Lewis, MS, RD

  • Registered Dietitian
  • Helena, MT
  • NPI 1871211656

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1003635756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015234",
            "telephone_number": "406-600-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 GREAT NORTHERN BLVD STE 331",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013392",
            "telephone_number": "406-792-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD & ROOTED NUTRITION CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER, DIETITIAN",
        "authorized_official_telephone_number": "406-600-2259",
        "authorized_official_credential": "MS, RD, LN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rose Irene Wheeler, MA, LCPC, MFLC
• Alexia Leigh White Wolf, RBT
• Donald James Wight, MD
• Christine E Wike, P.T.
• Jamie Michelle Wilcox, DNP
• Wildflower Counseling Services LLC
• Craig L Wilkerson, MD
• Kathleen Wilkins, FNP
• Molly Anne Wilkins, LCSW
• Skyler Wilkinson

• Registered Dietitian in Helena, MT
• Providers in Helena, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.