Organization Active NPI

Bare Roots Wellness, LLC

Doing business as Bare Roots Nurse Coach

  • Psychiatric/Mental Health Registered Nurse
  • Dallas, TX
National Provider Identifier
1851158489
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
BARE ROOTS WELLNESS, LLC
Doing business as
Bare Roots Nurse Coach
Practice address
13101 Preston Rd Ste 110-282
Dallas, TX 75240-5237
Phone
(214) 560-4222
NPI assigned
Feb 29, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Crystal Brown, RNNPI 1669239281
Title
RN
Phone
(214) 560-4222

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
Psychiatric/Mental Health Registered Nurse 163WP0808X NU Primary

Addresses

Primary practice location

13101 Preston Rd Ste 110-282
Dallas, TX 75240-5237

Mailing address

13101 Preston Rd Ste 210-282
Dallas, TX 75240-5237
Phone (214) 560-4222

Other names 1

  • Bare Roots Nurse Coach Doing business as

National Provider Directory

National Provider Directory

Locations

13101 Preston Rd
Ste 110282
Dallas, TX 75240
Phone (214) 263-6992

13101 Preston Rd
Ste 210282
Dallas, TX 75240

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": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1851158489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 PRESTON RD STE 210-282",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405237",
            "telephone_number": "214-560-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 PRESTON RD STE 110-282",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405237",
            "telephone_number": "214-560-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARE ROOTS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "214-560-4222",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bare Roots Nurse Coach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bare Roots Nurse Coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.