Organization Active NPI

Renewed Roots NW LLC

  • Case Management Agency
  • Mead, WA
National Provider Identifier
1073437323
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENEWED ROOTS NW LLC
Practice address
12905 N Cherry St
Mead, WA 99021-9610
Phone
(509) 866-8417
NPI assigned
Aug 8, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Tarri Anne WardNPI 1700791209
Title
Owner/Director of Operations
Phone
(509) 866-8417

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

12905 N Cherry St
Mead, WA 99021-9610

Mailing address

12905 N Cherry St
Mead, WA 99021-9610
Phone (509) 866-8417

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1073437323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 N CHERRY ST",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219610",
            "telephone_number": "509-866-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 N CHERRY ST",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219610",
            "telephone_number": "509-866-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED ROOTS NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TARRI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "509-866-8417"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mead, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.