Organization Active NPI

Rooted Nourish, LLC

  • Nutritionist
  • Independence, KY
National Provider Identifier
1275351678
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
ROOTED NOURISH, LLC
Practice address
125 Sylvan Dr
Independence, KY 41051-9263
Phone
(859) 991-3295
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Caroline OwhosoNPI 1649562117
Title
Manager
Phone
(859) 991-3295

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

125 Sylvan Dr
Independence, KY 41051-9263

Mailing address

125 Sylvan Dr
Independence, KY 41051-9263
Phone (859) 991-3295

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.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1275351678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SYLVAN DR",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519263",
            "telephone_number": "859-991-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SYLVAN DR",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519263",
            "telephone_number": "859-991-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED NOURISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "OWHOSO",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-991-3295"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.