Blended Roots Wellness and Consulting

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BLENDED ROOTS WELLNESS AND CONSULTING

Practice address

469 Autumn Haven Cir
Lacombe, LA 70445-6259

Phone

(985) 377-9094

NPI assigned

Jun 15, 2020

Last updated

Feb 16, 2021By 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

Mrs. Adjuan Edgerson, RNNPI 1013661255

Title

Owner

Phone

(985) 377-9094

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.

• Adjuan Edgerson, RN

  • Registered Nurse
  • Lacombe, LA
  • NPI 1013661255
  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1912522962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 AUTUMN HAVEN CIR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704456259",
            "telephone_number": "985-377-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 AUTUMN HAVEN CIR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704456259",
            "telephone_number": "985-377-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDED ROOTS WELLNESS AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "EDGERSON",
        "authorized_official_first_name": "ADJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-377-9094",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Behavioral Hospital Northshore
• Beacon Behavioral Hospital Northshore, LLC
• Michael J Becker, MD
• Thomas Joel Berry, M.D.
• Bio-Medical Applications of Louisiana LLC (Fresenius Medical Care Lacombe)
• Allie Elizabeth Blestel, MS, RD, LDN
• Anthony B Bondi, PHARMD
• Stella Jan Borges, RPH
• John Richard Breaux, MD
• Arris Slocum Brunet, APRN, FNP-C

• Nursing Care Agency in Lacombe, LA
• Providers in Lacombe, LA by specialty
• Nursing Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.