Root & Branch LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3903 Issued in FL

Legal business name

ROOT & BRANCH LLC

Doing business as

Root & Branch Medicine

Practice address

3602 Madaca LN
Tampa, FL 33618

Phone

(813) 992-5421

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Lauren Polm, DOMNPI 1134636525

Title

Ceo

Phone

(813) 460-5222

Specialties & licenses 1

Addresses

Other names 1

• Root & Branch Medicine Doing business as

Locations

Practitioners 1

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

• Lauren Polm, DOM

  • Acupuncturist
  • Tampa, FL
  • NPI 1134636525
  NPD (past) Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532217600000",
    "number": "1134622392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 N DALE MABRY HWY UNIT 270657",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336889028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-992-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BRANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-07-22",
        "status": "A",
        "authorized_official_last_name": "POLM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-460-5222",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Root & Branch Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Madeline Rooney-Malky, MA, NCC, LPC, LMHC
• Dorraine Marie Rooney, LMT
• Alicin F Roop, PA-C
• Lalith Roopesh
• Rajnarine Roopnarine, DC, MSN,APRN, FNP-BC
• Root Cause Clinic, Incorporated
• Root Cause Medical Clinic Inc (Axe Holistic Medicine)
• Root Cause Medical Clinic LLC
• Dylan Root
• Halle Nicole Root, DO

• Acupuncturist in Tampa, FL
• Providers in Tampa, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.