Feeding the Root, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FEEDING THE ROOT, LLC

Practice address

2959 Elmore Park Rd Ste 8
Bartlett, TN 38134-8379

Phone

(662) 912-4090

NPI assigned

Sep 27, 2021

Last updated

Aug 2, 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

Samaria Donielle GrandberryNPI 1316530330

Title

Dietitian

Phone

(901) 351-1618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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.

• Anda Aaliyah Hubbard, MS, RDN, LDN

  • Registered Dietitian
  • Memphis, TN
  • NPI 1538902705
  Medicare reassignment NPD
• Samaria Grandberry, RDN

  • Registered Dietitian
  • Bartlett, TN
  • NPI 1316530330
  Authorized official Same address or phone

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1801567045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 ELMORE PARK RD STE 8",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348379",
            "telephone_number": "662-912-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 ELMORE PARK RD STE 8",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348379",
            "telephone_number": "662-912-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7290 Millington Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380535611",
            "country_code": "US",
            "telephone_number": "901-351-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FEEDING THE ROOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "GRANDBERRY",
        "authorized_official_first_name": "SAMARIA",
        "authorized_official_middle_name": "DONIELLE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "901-351-1618"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• Krista Faught, PHARMD
• Jeffrey Faust
• Marshall Keith Faust, DPH
• Kristina Michelle Favaloro, DNP
• Charles Ferguson
• Christopher Allen Ferguson, M.D.
• Porsha Ferguson, PSYD
• Ferrand Psychological Services LLC
• Christopher Ferrand, PSYD

• Clinic/Center in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.