Roots Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOTS FAMILY MEDICINE LLC

Practice address

2275 NE Doctors Dr Ste 1a
Bend, OR 97701

Phone

(541) 241-2656

Fax

(541) 241-9848

NPI assigned

Dec 9, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shanna Geigle, NP

Title

Owner

Phone

(503) 475-9650

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20588/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1437620937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR STE 1A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-241-2656",
            "fax_number": "541-241-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR STE 1A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-241-2656",
            "fax_number": "541-241-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20344 Sonata Way",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977022782",
            "country_code": "US",
            "telephone_number": "503-241-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-09",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "GEIGLE",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-475-9650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL",
            "identifier": "1679941736",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta June Rood - Hilliard
• Emily Jean Rood, CHW
• Sacha V Rood, LCSW
• Timothy Mark Roos, MD
• Roots and Branches Counseling LLC
• Roots Renewal Counseling, Inc
• Ken Roper
• Ana Rosabal
• Natalie Rose
• Aimee Roseborrough, PT

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.