Organization Active NPI

Rooted Nutrition, LLC

  • Registered Dietitian
  • Glen Allen, VA
National Provider Identifier
1104782846
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ROOTED NUTRITION, LLC
Practice address
4908 Dominion Blvd Ste F
Glen Allen, VA 23060-6774
Phone
(804) 210-5711
NPI assigned
Dec 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Sara Jones, M.A., RDNNPI 1003637422
Title
Registered Dietitian
Phone
(804) 210-5711

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4908 Dominion Blvd Ste F
Glen Allen, VA 23060-6774

Mailing address

8401 Mayland Dr # 4930
Richmond, VA 23294-4648
Phone (804) 210-5711

Other practice location 1

4501 Richmond Park Ln Apt 2335
Glen Allen, VA 23060-6047
Phone (804) 210-5711

National Provider Directory

National Provider Directory

Locations

4908 Dominion Blvd
Ste F
Glen Allen, VA 23060
Phone (804) 366-6609

8401 Mayland Dr
#4930
Richmond, VA 23294

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": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1104782846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 4930",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "804-210-5711",
            "fax_number": "804-374-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 DOMINION BLVD STE F",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606774",
            "telephone_number": "804-210-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Richmond Park Ln Apt 2335",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606047",
            "country_code": "US",
            "telephone_number": "804-210-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "804-210-5711",
        "authorized_official_credential": "M.A., RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.