Radiant Roots

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RADIANT ROOTS

Practice address

16302 Stonebrook Dr
Sanford, FL 32773-4466

Phone

(561) 388-3276

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Pamela JacquesNPI 1891444196

Title

Owner

Phone

(561) 388-3276

Specialties & licenses 1

Addresses

Other names 1

• R&R Diagnostics Doing business as

Practitioners 1

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

• Pamela Jacques

  • Home Health Aide
  • Lake Mary, FL
  • NPI 1891444196
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1821869652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16302 STONEBROOK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734466",
            "telephone_number": "561-388-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16302 STONEBROOK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734466",
            "telephone_number": "561-388-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-388-3276"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R&R Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R&R Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amalie Quintero
• Zainab Jehanzeb Qureshi, M.D.
• R&M Allen, LLC
• R&Y Center for Growth
• Shannon Raday, MASTERS LEVEL
• Radiation Oncology Consultants PA
• Rae of Sunshine Homecare LLC
• Deirdre Marie Raggins, M.S., ED.D.
• Karima Rahhali Webb, CRT
• Chhavi Rai, M.D

• Clinical Medical Laboratory in Sanford, FL
• Providers in Sanford, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.