Country Roots Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

COUNTRY ROOTS NUTRITION LLC

Practice address

312 E Carlson St
Cheyenne, WY 82009-4120

Phone

(307) 509-0641

NPI assigned

May 6, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Sally Ann Printz, RDN, LD

Title

Owner

Phone

(307) 509-0641

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sally Ann Heppner, RDN

  • Registered Dietitian
  • Cheyenne, WY
  • NPI 1538921523

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1376470153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E CARLSON ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094120",
            "telephone_number": "307-509-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E CARLSON ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094120",
            "telephone_number": "307-509-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY ROOTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "PRINTZ",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-509-0641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnie Ray Cotton
• Jacee Renee Cotton, O.D.
• Heather Coughenour
• Counseling Consulting & Mediation LLC
• Counseling Solutions Group of Wyoming LLC
• Jonathan R Courtright, PA
• Christin Marie Covello, PHD, M.A.E., LPC
• Raven Coward, LCSW
• Cowboy Hearing LLC
• Cowboy Spine & Performance Center

• All providers in Cheyenne, WY
• Registered Dietitian in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.