Rising Root Nutrition LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RISING ROOT NUTRITION LLC

Practice address

2835 N Sheffield Ave Ste 511
Chicago, IL 60657-5081

Phone

(773) 241-1747

Fax

(773) 787-2181

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Erika Kimberly Siesennop, MS, RD, LDN

Title

Dietitian

Phone

(773) 241-1747

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1649817768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "773-241-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "773-241-1747",
            "fax_number": "773-787-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING ROOT NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "SIESENNOP",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "773-241-1747",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHICAGO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2835 N Sheffield Ave Ste 511",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Risewell Therapy and Consultation LLC
• Michael Tal Risher, DC
• Rishi Pharmacy Inc
• Rishi Pharmacy Inc (RishiPharmacy)
• Rising Health Services, LLC
• Karen Risinger, LMT
• Frank Riska, B.O.C.O.O., L.O.
• Alexandra Adele Riskus, PHARMD
• Elijah Ray Risman, OD
• Gina Rismondo, RDN

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.