Organization Active NPI

Rooted in Wellness Family Care, LLC

  • Primary Care Nurse Practitioner
  • Saint Henry, OH
National Provider Identifier
1790368710
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ROOTED IN WELLNESS FAMILY CARE, LLC
Practice address
591 South Eastern Ave
St. Henry, OH 45883-4588
Phone
(937) 417-4712
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Brittany Sue Buening, CNPNPI 1336671387
Title
Owner
Phone
(937) 417-4712

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
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

591 South Eastern Ave
St. Henry, OH 45883-4588

Mailing address

121 Oak Hill Dr
Saint Henry, OH 45883-9647
Phone (937) 417-4712

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2228894Rooted in Wellness Family Care, LLC591 S Eastern Avenue, Saint Henry, OH 45883Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Locations

591 S Eastern Ave
Saint Henry, OH 45883
Phone (567) 279-1347

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23929/brand/1/csg/1/fhir/r4

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1790368710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OAK HILL DR",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458839647",
            "telephone_number": "937-417-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SOUTH EASTERN AVE",
            "city": "ST. HENRY",
            "state": "OH",
            "postal_code": "458834588",
            "telephone_number": "937-417-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN WELLNESS FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "BUENING",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-417-4712",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Henry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.