Organization Active NPI

Rooted Heart Nutrition LLC

  • Health Service Clinic/Center
  • Mountlake Terrace, WA
National Provider Identifier
1568110187
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Emily Haymond, MS, RDNNPI 1184385478
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL www.rootedheartnutrition.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.