Simple Roots Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SIMPLE ROOTS NUTRITION LLC

Practice address

811 Warwick Ave Apt 5L
Warwick, RI 02888-2600

Phone

(660) 281-8849

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Holli Mootz, RDNPI 1811766322

Title

Owner

Phone

(660) 281-8849

Specialties & licenses 1

Addresses

Other names 1

• Natural Roots Nutrition Other name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

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

• Holli Mootz, RDN

  • Registered Dietitian
  • Warwick, RI
  • NPI 1811766322

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1851182794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WARWICK AVE APT 5L",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882600",
            "telephone_number": "660-281-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WARWICK AVE APT 5L",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882600",
            "telephone_number": "660-281-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Centerville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864355",
            "country_code": "US",
            "telephone_number": "401-702-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLE ROOTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "MOOTZ",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-281-8849",
        "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": [
        {
            "organization_name": "Natural Roots Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacie Lee Simcock, MSW
• Gabriel Simoes, FNP
• Gianna M Simoncelli
• Jenna Simone
• Michael Simonetti, PA-C
• Wafa Simpore
• Emily Simpson
• Boris Sinayuk, M.D.
• Julie Singer-Leavitt
• Jay C Singer, DPT

• Registered Dietitian in Warwick, RI
• Providers in Warwick, RI by specialty
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.