Organization Active NPI

Rooted Nutrition and Fitness LLC

  • Nutritionist
  • Hampstead, NC
National Provider Identifier
1013840271
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
ROOTED NUTRITION AND FITNESS LLC
Practice address
120 Broomcorn Way Unit B
Hampstead, NC 28443-0649
Phone
(910) 550-9058
NPI assigned
Jun 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Authorized official

Name
Kelly Barton McGregorNPI 1013840263
Title
Owner
Phone
(910) 550-9058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

120 Broomcorn Way Unit B
Hampstead, NC 28443-0649

Mailing address

120 Broomcorn Way Unit B
Hampstead, NC 28443-0649
Phone (910) 550-9058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1013840271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROOMCORN WAY UNIT B",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430649",
            "telephone_number": "910-550-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROOMCORN WAY UNIT B",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430649",
            "telephone_number": "910-550-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED NUTRITION AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-06",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-550-9058"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.