Renewed Roots Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENEWED ROOTS NUTRITION

Practice address

724 Woodview CT
Anna, TX 75409-1049

Phone

(214) 796-7485

NPI assigned

Oct 25, 2024

Last updated

Oct 25, 2024By 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

Melissa Fossier, RDNPI 1588017511

Title

Registered Dietitian

Phone

(214) 796-7485

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, and the practitioner matching its NPPES authorized official.

• Melissa Fossier, MS, RD, LD

  • Pediatric Nutrition Registered Dietitian
  • Plano, TX
  • NPI 1588017511

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1831911429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 WOODVIEW CT",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754091049",
            "telephone_number": "214-796-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 WOODVIEW CT",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754091049",
            "telephone_number": "214-796-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED ROOTS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "FOSSIER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "214-796-7485",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Aaron Reinert, OD
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• Jenna Robinson, DPT
• Kristen Robinson, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.