WELLNESS FROM THE ROOTS PLLC NPI 1508537606

NPI Information

  • NPI: 1508537606
  • Provider Name: WELLNESS FROM THE ROOTS, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 49D2020853
  • Address: 8401 MAYLAND DR STE S
    RICHMOND, VA
    ZIP 23294
  • Phone: (501) 229-9246

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NPI Details

WELLNESS FROM THE ROOTS, PLLC is a general practice in Richmond, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLNESS FROM THE ROOTS, PLLC NPI is 1508537606. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

8401 MAYLAND DR STE S
RICHMOND, VA
ZIP 23294-648
Phone: (501) 229-9246

The provider's authorized official is Keegan Jae Ziemba .
The authorized official title is Owner and has the following contact phone number (501) 229-9246.

The CLIA number assigned to this NPI record is 49D2020853 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 6/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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