Active NPI
Rooted Heart Nutrition LLC
- Health Service Clinic/Center
- Mountlake Terrace, WA
National Provider Identifier
1568110187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ROOTED HEART NUTRITION LLC
- Practice address
- 4206 223Rd PL SW
Mountlake Terrace, WA 98043-3641 - Phone
- (303) 478-9867
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- 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
- Emily Haymond, MS, RDN
- Title
- Co-Owner
- Phone
- (303) 478-9867
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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
4206 223Rd PL SW
Mountlake Terrace, WA 98043-3641
Mailing address
3011 196TH St SW # 1037
Lynnwood, WA 98036-6925
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.rootedheartnutrition.com | Direct |
National Provider Directory
National Provider DirectoryLocations
3011 196th St SW
#1037
Lynnwood, WA 98036
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.
-
- Registered Dietitian
- Mountlake Terrace, WA
- NPI 1184385478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1568110187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 196TH ST SW # 1037",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4206 223RD PL SW",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980433641",
"telephone_number": "303-478-9867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEART NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "HAYMOND",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "303-478-9867",
"authorized_official_credential": "MS, RDN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.rootedheartnutrition.com",
"affiliation": "N",
"endpointDescription": "Business website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "4206 223rd Pl SW",
"city": "Mountlake Terrace",
"state": "WA",
"country_code": "US",
"postal_code": "980433641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.