Roots Wellness Group, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ROOTS WELLNESS GROUP, LLC

Practice address

969 Reading Rd Ste H
Mason, OH 45040-2654

Phone

(937) 657-8101

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Jamee Diver, LBCLCNPI 1447622279

Title

Lbclc/ Owner

Phone

(937) 657-8101

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamee Diver, IBCLC

  • Lactation Consultant (Non-RN)
  • Mason, OH
  • NPI 1447622279
  NPD Authorized official
• Sara Helene Pinney, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Mason, OH
  • NPI 1669022349
  NPD
• Lauren Kelly Shannon, CPNP-AC

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1952786691
  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1740033083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 JOSEPH LN",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401270",
            "telephone_number": "513-317-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 READING RD STE H",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402654",
            "telephone_number": "937-657-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DIVER",
        "authorized_official_first_name": "JAMEE",
        "authorized_official_title_or_position": "LBCLC/ OWNER",
        "authorized_official_telephone_number": "937-657-8101",
        "authorized_official_credential": "LBCLC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Rolle, RBT
• Fernando Romero Ornelas
• Emily Romito
• Francisco Romo-Nava, M.D.
• Eric Michael Roose, MD, MPH
• Kailee Rosa, RBT
• Tracey Rose
• Jessica Melowsky Ross, DPT
• Tammy Ross
• Amy Lynn Roth, LPN

• Health Service Clinic/Center in Mason, OH
• Providers in Mason, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.