Sustained Roots

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUSTAINED ROOTS

Practice address

1208 NW 112TH Ter
Kansas City, MO 64155-3686

Phone

(816) 226-6605

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Jantz, RDN, LDN, CDCESNPI 1427322015

Title

Owner

Phone

(619) 866-8084

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, and the practitioner matching its NPPES authorized official.

• Jessica M Jantz, R.D.

  • Registered Dietitian
  • Kansas City, MO
  • NPI 1427322015

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1568117679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NW 112TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553686",
            "telephone_number": "816-226-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 NW 112TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553686",
            "telephone_number": "816-226-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINED ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "JANTZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-866-8084",
        "authorized_official_credential": "RDN, LDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Nicole Surber
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• Mary R Surridge, DC
• Susan L Dasta DO PC (Downtown Family Care)
• David Lawrence Sutcliffe, M.D.
• Katelyn Suter, D.D.S
• Sutherlin Optical Company
• Gary Sutkin, M.D.
• Tiaunny Naomi Sutten, RBT

• Registered Dietitian in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.