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COUNTRY ROOTS NUTRITION LLC
NPI 1376470153
Dietitian, Registered in Cheyenne, WY

Active since May 06, 2026
312 E CARLSON ST, CHEYENNE, WY 82009(307) 509-0641 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Country Roots Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY ROOTS NUTRITION LLC (NPI 1376470153) is a healthcare organization registered as a dietitian, registered in Cheyenne, Wyoming and active in the NPI registry since May 2026. The organization lists Sally Ann Printz, Owner, as its authorized official.

NPPES Registry Identity

NPI1376470153
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameCOUNTRY ROOTS NUTRITION LLC
Location Address312 E CARLSON STCheyenne, WY 82009-4120
Mailing Address312 E Carlson StCheyenne, WY 82009-4120 · (307) 509-0641
Phone(307) 509-0641
Organization SubpartNo
Authorized OfficialSally Ann PrintzOwner · (307) 509-0641
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1376470153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
312 E CARLSON ST, Cheyenne, WY 82009
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SALLY ANN HEPPNER RDN
Dietitian, Registered
312 E CARLSON ST
CHEYENNE, WY 82009
Laramie County (928) 707-0940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Roots Nutrition LLC's NPI number?

The NPI number for Country Roots Nutrition LLC is 1376470153. It was assigned to this organization in the NPPES registry on May 6, 2026.

Where is Country Roots Nutrition LLC located?

Country Roots Nutrition LLC is located at 312 E Carlson St, Cheyenne, WY 82009. The listed phone number is (307) 509-0641.

What is Country Roots Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Country Roots Nutrition LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.