Nurturing Roots, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NURTURING ROOTS, LLC

Practice address

5885 149TH St W Ste 101L
Apple Valley, MN 55124-5703

Phone

(651) 650-4929

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Kristine Marie Lynam, LICSWNPI 1023151495

Title

Owner

Phone

(650) 651-4929

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.

• Kristine M Lynam, LICSW

  • Social Worker
  • Rochester, MN
  • NPI 1023151495
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1003683061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 149TH ST W STE 101L",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245703",
            "telephone_number": "651-650-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 149TH ST W STE 101L",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245703",
            "telephone_number": "651-650-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "LYNAM",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-651-4929",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Dental Partners, PLLC
• Northland Hearing Center Inc
• Novacare Outpatient Rehabilitation East Inc
• Josephine Nuah
• Christopher Alan Nundahl, PHARMD.
• Ruth Nyakundi
• Colin Thomas O'Connor, PA-C
• Jane K O'Neil, MD
• Colette O'Shea
• Oak Ridge Center PLLC

• Clinical Social Worker in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.