Active NPI
Roots
- Community/Behavioral Health Agency
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ROOTS
- Practice address
- 301 S Clay St Unit 303
Louisville, KY 40202-1498 - Phone
- (502) 442-9125
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Floyd, LCSW
- Title
- Principal Clinician
- Phone
- (502) 442-9125
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
301 S Clay St Unit 303
Louisville, KY 40202-1498
Mailing address
301 S Clay St Unit 303
Louisville, KY 40202-1498
Phone (502) 442-9125
Other practice location 1
1300 W Muhammad Ali Blvd
Louisville, KY 40203-1744
Phone (502) 442-9125
National Provider Directory
National Provider DirectoryLocations
1300 W Muhammad Ali Blvd
Louisville, KY 40203
Phone (502) 442-9125
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Louisville, KY
- NPI 1962876458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1376372433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S CLAY ST UNIT 303",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021498",
"telephone_number": "502-442-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S CLAY ST UNIT 303",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021498",
"telephone_number": "502-442-9125"
}
],
"practiceLocations": [
{
"address_1": "1300 W Muhammad Ali Blvd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402031744",
"country_code": "US",
"telephone_number": "502-442-9125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROOTS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "FLOYD",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "PRINCIPAL CLINICIAN",
"authorized_official_telephone_number": "502-442-9125",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.