Root and Soul, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ROOT AND SOUL, INC

Practice address

9131 Fletcher Pkwy Ste 108
La Mesa, CA 91942-3426

Phone

(619) 483-1173

Fax

(858) 365-5157

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shani Cooper Cooper, LAC, DACM

Title

Ceo

Phone

(619) 483-1173

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, and the practitioner matching its NPPES authorized official.

• Shani Ayanna Cooper, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1245766211
  NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1366214827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 FLETCHER PKWY STE 108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423426",
            "telephone_number": "619-483-1173",
            "fax_number": "858-365-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 FLETCHER PKWY STE 108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423426",
            "telephone_number": "619-483-1173",
            "fax_number": "858-365-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT AND SOUL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SHANI",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-483-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald M Levin MD Inc
• Ronald M Watson, OD, Inc
• Rina Regala Ronquillo, M.D.
• Rosemary Lisa Anne Rookey, RDN
• Karen M Rooney, LCSW
• Stephanie J Root, N.P.
• Roots & Wings Individual and Family Counseling Associates Inc (Roots & Wings Consulting)
• Brittney Nicole Rosas-Davis
• Kellyanne Rose
• Coral Roseberry, DNP, FNP, AGNP

• Acupuncturist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.