Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROOTED HOLISTIC MINDCARE LLC
NPI 1124971197
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Q: What is Rooted Holistic Mindcare LLC's NPI number?

The NPI number for Rooted Holistic Mindcare LLC is 1124971197. It was assigned to this organization in the NPPES registry on February 18, 2026.

Q: What is Rooted Holistic Mindcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 18, 2026

5405 INDIAN RIVER RD STE E, VIRGINIA BEACH, VA 23464(336) 327-6678 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 24, 2026, Jun 2, 2026 (2 updates tracked since 2026).

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About Rooted Holistic Mindcare Llc NPPES

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

ROOTED HOLISTIC MINDCARE LLC (NPI 1124971197) is a healthcare organization registered as a psychiatric/mental health in Virginia Beach, Virginia and active in the NPI registry since February 2026. The organization lists Petra G. Mcanuff, Owner, as its authorized official.

NPPES Registry Identity

NPI1124971197

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROOTED HOLISTIC MINDCARE LLC

Location Address5405 INDIAN RIVER RD STE EVirginia Beach, VA 23464-5322

Mailing Address5405 Indian River Rd Ste EVirginia Beach, VA 23464-5322 · (336) 327-6678

Phone(336) 327-6678

Organization SubpartNo

Authorized OfficialPetra G. McanuffOwner · (334) 327-6678

Enumeration DateFebruary 18, 2026

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1124971197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

5405 INDIAN RIVER RD STE E, Virginia Beach, VA 23464

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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.

ALICIA COOPER PLLC HANDS OF HOPE MENTAL HEALTH & WELLNESS

Nurse Practitioner (Psychiatric/Mental Health)

5405 INDIAN RIVER RD STE E
VIRGINIA BEACH, VA 23464

Virginia Beach City (757) 567-9968

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 Rooted Holistic Mindcare LLC's NPI number?

The NPI number for Rooted Holistic Mindcare LLC is 1124971197. It was assigned to this organization in the NPPES registry on February 18, 2026.

Where is Rooted Holistic Mindcare LLC located?

Rooted Holistic Mindcare LLC is located at 5405 Indian River Rd Ste E, Virginia Beach, VA 23464. The listed phone number is (336) 327-6678.

What is Rooted Holistic Mindcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Rooted Holistic Mindcare LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.