Nourished Roots, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

NOURISHED ROOTS, LLC

Practice address

52 W 330 N
North Salt Lake, UT 84054-2332

Phone

(440) 479-0042

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Alyssa Scotese, RDNNPI 1417592593

Title

Direct Owner

Phone

(440) 479-0042

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.

• Alyssa M Scotese, RDN

  • Registered Dietitian
  • Stockton, CA
  • NPI 1417592593
  NPD Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1982462495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W 330 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W 330 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542332",
            "telephone_number": "440-479-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "SCOTESE",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "440-479-0042",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Nielsen, PA-C
• Betty Celestial Niutupuivaha, LCSW
• Joel Michael Noland
• North Salt Lake Dental PLLC
• North Star Medicare LLC
• Novoceutics Wellness Systmes
• Olivia R Olsen
• Onsite Care Clinics, Inc.
• Orbit Onsite Care Clinic
• Emily Ortiz, LCSW

• Health Maintenance Organization in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Health Maintenance Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.