DIVERSE WELLNESS SOLUTIONS
NPI 1477347615
Nurse Practitioner - Family in Plantation, FL

Active since April 04, 2025
7580 NW 5TH ST UNIT 15614, PLANTATION, FL 33318(888) 212-1949(888) 281-6026 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2025, Apr 7, 2025, Apr 4, 2025 (3 updates tracked since 2025).

About Diverse Wellness Solutions NPPES

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

DIVERSE WELLNESS SOLUTIONS (NPI 1477347615), doing business as Rooted Health Collective, is a healthcare organization registered as a family in Plantation, Florida and active in the NPI registry since April 2025. The organization lists Kyndall Nyeschelle Mammah, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1477347615
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVERSE WELLNESS SOLUTIONS
Location Address7580 NW 5TH ST UNIT 15614Plantation, FL 33318-8427
Mailing Address7580 Nw 5th St Unit 15614Plantation, FL 33318-8427 · (888) 212-1949 · Fax (888) 281-6026
Fax(888) 281-6026
Organization SubpartNo
Authorized OfficialKyndall Nyeschelle MammahProvider/owner · (888) 212-1949
Enumeration DateApril 4, 2025
Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1477347615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7580 NW 5TH ST UNIT 15614, Plantation, FL 33318

Other Names 1

Doing Business AsRooted Health Collective

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diverse Wellness Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diverse Wellness Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1558191726
7580 NW 5TH ST UNIT 15614
Plantation, FL 33318
(888) 212-1949
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Diverse Wellness Solutions's NPI number?

The NPI number for Diverse Wellness Solutions is 1477347615. It was assigned to this organization in the NPPES registry on April 4, 2025. The provider is doing business as Rooted Health Collective.

Where is Diverse Wellness Solutions located?

Diverse Wellness Solutions is located at 7580 NW 5th St Unit 15614, Plantation, FL 33318. The listed phone number is (888) 212-1949.

What is Diverse Wellness Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diverse Wellness Solutions enrolled in Medicare?

Yes. Diverse Wellness Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diverse Wellness Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Diverse Wellness Solutions. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diverse Wellness Solutions was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.