Provider Demographics
NPI:1558979369
Name:ROOTED NUTRITION COUNSELING
Entity Type:Organization
Organization Name:ROOTED NUTRITION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:509-557-7150
Mailing Address - Street 1:3108 S LAMONTE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2626
Mailing Address - Country:US
Mailing Address - Phone:509-998-0531
Mailing Address - Fax:
Practice Address - Street 1:1516 W RIVERSIDE AVE STE 205
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1241
Practice Address - Country:US
Practice Address - Phone:509-557-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346646189OtherINDIVIDUAL NPI
1104167873OtherINDIVIDUAL NPI