Nutrition Rooted, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION ROOTED, LLC

Practice address

2901 Durant CT
Granbury, TX 76049-7013

Phone

(909) 896-1110

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Lisa McDermott, MS, RDN, LDNPI 1356005417

Title

Owner

Phone

(909) 896-1110

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.

• Lisa McDermott, MS, RDN, LD

  • Registered Dietitian
  • Granbury, TX
  • NPI 1356005417

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1801630868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DURANT CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DURANT CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497013",
            "telephone_number": "909-896-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION ROOTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-896-1110",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Nolley, D.C.
• Rajal Goswami Noorali, O.D.
• Northland Hearing Center, Inc. (SoundWorks Hearing Centers)
• NTKC Management, LLC (North Texas Kidney Consultants)
• Nucardio Heart Center
• Kelly Farrell O'Carroll, MD
• Peter Joseph O'Carroll III, M.D.
• Wyatt Jacob O'Grady, D.D.S.
• Oak Partners LP (Courtyards at Lake Granbury)
• Lucia Obergoenner, WHNP-BC

• Registered Dietitian in Granbury, TX
• Providers in Granbury, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.