Pamoja Rooted LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

PAMOJA ROOTED LLC

Practice address

7722 Capron CT
Lorton, VA 22079-4346

Phone

(630) 518-0909

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Chardonee Donald, CNS, LDNNPI 1679266761

Title

Certified Nutrition Specialist

Phone

(630) 518-0909

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.

• Chardonee Donald, CHN, CNS

  • Nutritionist
  • Woodbridge, VA
  • NPI 1679266761
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1619709938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 CAPRON CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 CAPRON CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794346",
            "telephone_number": "630-518-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMOJA ROOTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "CHARDONEE",
        "authorized_official_title_or_position": "CERTIFIED NUTRITION SPECIALIST",
        "authorized_official_telephone_number": "630-518-0909",
        "authorized_official_credential": "CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Lorton, VA
• Providers in Lorton, VA by specialty
• Nutrition Education Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.