Roots of Wellness, PLLC.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROOTS OF WELLNESS, PLLC.

Practice address

19 8TH St. S. PMB 409
Fargo, ND 58103-1804

Phone

(701) 699-4024

Fax

(701) 670-2624

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Genevieve Simone Hudgins, APRNNPI 1457069908

Title

Owner/Operator

Phone

(701) 699-4024

Specialties & licenses 1

Addresses

Other names 1

• Roots of Wellness Doing business as

Practitioners 1

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

• Genevieve Simone Hudgins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
  • NPI 1457069908

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1972373371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 8TH ST. S. PMB 409",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-699-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 8TH ST. S. PMB 409",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031804",
            "telephone_number": "701-699-4024",
            "fax_number": "701-670-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF WELLNESS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "701-699-4024",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots of Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roots of Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Rood
• Pamela Roof
• Jill Marie Root, CNP
• Sandy G Rootham, MA
• Roots Community Home Care LLC
• Angela K Rortvedt
• Lisa K Rorvig, MSW
• Karla Rosenau, R.PH.
• Katie Rosenfeldt
• Shandra Dee Rosenfeldt, D.D.S.

• All providers in Fargo, ND
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.