Motion Rooted Foundation

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

MOTION ROOTED FOUNDATION

Practice address

219 Windsor Dr
Fayetteville, NC 28301-4368

Phone

(910) 930-2160

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Yannick Kinsaka

Title

Manager

Phone

(910) 930-2160

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1497583173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WINDSOR DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014368",
            "telephone_number": "910-930-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WINDSOR DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014368",
            "telephone_number": "910-930-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION ROOTED FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KINSAKA",
        "authorized_official_first_name": "YANNICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-930-2160"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine D Mouser, PA-C

• Assisted Living Facility (Behavioral Disturbances) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility (Behavioral Disturbances) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.