Organization Active NPI

Rootmama LLC

  • Doula
  • Duncanville, TX
National Provider Identifier
1891214581
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
ROOTMAMA LLC
Practice address
119 W Wheatland Rd Ste C
Duncanville, TX 75116-4725
Phone
(687) 587-7668
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Felicia Montgomery, CDNPI 1528470473
Title
Ceo
Phone
(682) 587-7668

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

119 W Wheatland Rd Ste C
Duncanville, TX 75116-4725

Mailing address

PO Box 151681
Arlington, TX 76015-7681
Phone (682) 587-7668

Other practice location 1

119 W Wheatland Rd Ste C
Duncanville, TX 75116-4725
Phone (687) 587-7668

Other names 1

  • RootMama Doing business as

National Provider Directory

National Provider Directory

Locations

119 W Wheatland Rd
Ste C
Duncanville, TX 75116
Phone (687) 587-7668

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1891214581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151681",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760157681",
            "telephone_number": "682-587-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W WHEATLAND RD STE C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164725",
            "telephone_number": "687-587-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W Wheatland Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164725",
            "country_code": "US",
            "telephone_number": "687-587-7668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTMAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-587-7668",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RootMama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.