Nourished Roots Consulting, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED ROOTS CONSULTING, LLC

Practice address

1405 Newcastle St
Brunswick, GA 31520-7019

Phone

(912) 515-5822

Fax

(833) 923-1244

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Cassandra DefeoNPI 1013525401

Title

Owner

Phone

(912) 515-5822

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Cassandra Defeo, RD

  • Professional Counselor
  • Jekyll Island, GA
  • NPI 1013525401

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1245100775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NEWCASTLE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207019",
            "telephone_number": "912-515-5822",
            "fax_number": "833-923-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NEWCASTLE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207019",
            "telephone_number": "912-515-5822",
            "fax_number": "833-923-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED ROOTS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-515-5822"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Elizabeth O'Neal, RN
• Leigh Willingham O'Quinn, FNP-C
• Lorene Williams Oberlies
• Oceanhorse Health and Wellness Clinic

• All providers in Brunswick, GA
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.