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ROOTED HEALTHCARE, LLC
NPI 1205791761
Nurse Practitioner - Primary Care in Sykesville, MD

Active since December 17, 2025
7610 MAIN ST, SYKESVILLE, MD 21784(443) 784-3116(888) 649-3015 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rooted Healthcare, Llc NPPES

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

ROOTED HEALTHCARE, LLC (NPI 1205791761) is a healthcare organization registered as a primary care in Sykesville, Maryland and active in the NPI registry since December 2025. The organization lists Kisun Peters-diaz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205791761
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameROOTED HEALTHCARE, LLC
Location Address7610 MAIN STSykesville, MD 21784-7316
Mailing Address405 N Center St Ste 25Westminster, MD 21157-5126 · (917) 861-2531 · Fax (888) 649-3015
Phone(443) 784-3116
Fax(888) 649-3015
Organization SubpartNo
Authorized OfficialKisun Peters-diazExecutive Director · (917) 861-2531
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1205791761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
7610 MAIN ST, Sykesville, MD 21784
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Healthcare, LLC's NPI number?

The NPI number for Rooted Healthcare, LLC is 1205791761. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Rooted Healthcare, LLC located?

Rooted Healthcare, LLC is located at 7610 Main St, Sykesville, MD 21784. The listed phone number is (443) 784-3116.

What is Rooted Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Rooted Healthcare, LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.