MEDICARE: LIVING STONE ROOTED HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1033063615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING STONE ROOTED HEALTH LLC

Provider Business Mailing Address
First Line	:	4705 ALLEN EARLIE RD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3734
Country	:	US
Telephone Number	:	301-980-4707
Fax Number	:

Provider Business Practice Location Address
First Line	:	4821 SAINT LEONARD RD
Second Line	:
City	:	SAINT LEONARD
State	:	MD
Zip	:	20685-2888
Country	:	US
Telephone Number	:	855-812-8255
Fax Number	:

Authorized Official
Title or Position	:	LICENSED DIETITIAN NUTRITIONIST
Name	:	MRS. ALEXIS LIVINGSTON
Credential	:	LDN, CNS
Telephone Number	:	301-980-4707

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	06/16/2026

Similar Medicare Providers

1689530529 — GUARANTEED CARE ACCESS
Practice Location Address:

4821 SAINT LEONARD RD APT 102
SAINT LEONARD, MD
20685-2888

Practice Phone: 202-403-4725
Practice Fax:

1649204173 — DR. MANOKIRAN PATRI M.D.
Practice Location Address:

330 1ST CAPITOL DR STE 260
SAINT CHARLES, MO
63301-2888

Practice Phone: 636-925-0900
Practice Fax: 636-925-0960

1174789747 — DR. SHEPHALI HIMANSHU WULFF D.O
Practice Location Address:

330 1ST CAPITOL DR STE 260
SAINT CHARLES, MO
63301-2888

Practice Phone: 636-925-0900
Practice Fax:

1952538522 — LEE KIEN YONG M.D.
Practice Location Address:

330 1ST CAPITOL DR STE 260
SAINT CHARLES, MO
63301-2888

Practice Phone: 636-925-0900
Practice Fax: 636-925-0960

1790438414 — INDIA LEEANN HAYNES
Practice Location Address:

100 SAINT NICHOLAS AVE APT 3D
NEW YORK, NY
10026-2888

Practice Phone: 347-631-6564
Practice Fax:

1265662357 — ANGELIC HOME CARE INC.
Practice Location Address:

4670 WILLIAMS WHARF RD
SAINT LEONARD, MD
20685-3044

Practice Phone: 301-618-9223
Practice Fax: 443-295-7814

Directions to “LIVING STONE ROOTED HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.