Healthcare Provider Details

I. General information

NPI: 1932069481
Provider Name (Legal Business Name): ROOTED BEGINNINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 SPRING ST
JEFFERSONVILLE IN
47130-3700
US

IV. Provider business mailing address

2598 FILSON AVE
LOUISVILLE KY
40217-2040
US

V. Phone/Fax

Practice location:
  • Phone: 812-920-1580
  • Fax: 812-959-0901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: ANN LAUREN FIEPKE
Title or Position: LACTATION CONSULTANT AND OWNER
Credential: IBCLC, BSN, RN
Phone: 270-304-6083