Organization Active NPI

Roots of Health, LLC

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1023511581
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NT00001531 Issued in WA
Legal business name
ROOTS OF HEALTH, LLC
Practice address
5322 Roosevelt Way NE
Seattle, WA 98105-3629
Phone
(206) 525-8012
Fax
(206) 525-8013
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Dr. Melissa Marie McCarty, ND
Title
Owner, Manager
Phone
(206) 525-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NT00001531 WA Primary

Addresses

Primary practice location

5322 Roosevelt Way NE
Seattle, WA 98105-3629

Mailing address

4208 223Rd PL SW
Mountlake Terrace, WA 98043-3641
Phone (206) 525-8012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1023511581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 223RD PL SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433641",
            "telephone_number": "206-525-8012",
            "fax_number": "206-525-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053629",
            "telephone_number": "206-525-8012",
            "fax_number": "206-525-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "206-525-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT00001531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.