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ROOTED PEDIATRIC HEALTHCARE LLC
NPI 1548029390
Clinic/Center - Primary Care in Manchester, IA

Active since March 14, 2024CLIA 16D2301888 · Waiver
105 E BUTLER ST, MANCHESTER, IA 52057(319) 480-2540 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rooted Pediatric Healthcare Llc NPPES

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

ROOTED PEDIATRIC HEALTHCARE LLC (NPI 1548029390) is a healthcare organization registered as a primary care in Manchester, Iowa and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Brooke Ann Mactaggart, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1548029390
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROOTED PEDIATRIC HEALTHCARE LLC
Location Address105 E BUTLER STManchester, IA 52057-1606
Mailing Address715 Anderson StManchester, IA 52057-1401 · (319) 480-2540
Phone(319) 480-2540
Organization SubpartNo
Authorized OfficialBrooke Ann MactaggartPediatric Nurse Practitioner · (319) 480-2540
Enumeration DateMarch 14, 2024
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1548029390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
105 E BUTLER ST, Manchester, IA 52057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2301888

Rooted Pediatric Healthcare LLC · Manchester, IA
Active · expires Apr 1, 2028
CLIA Number16D2301888
Laboratory TypePractitioner Other
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorBrooke Mactaggart
Laboratory Phone(563) 920-1515
Laboratory LocationRooted Pediatric Healthcare LLC105 E Butler St, Manchester, IA 52057
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAVES HEALING THERAPY, LLC
Social Worker (Clinical)
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 929-6571
BROOKE ANN MACTAGGART CPNP-PC
Nurse Practitioner (Pediatrics)
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 927-9400
DR. ELIZABETH M ZINGULA OD
Optometrist
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 927-3759
DR. JOSHUA AARON WOODLAND OD
Optometrist
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 927-3759
MRS. STEFANIE LOUISE DINGBAUM LISW
Social Worker (Clinical)
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 929-6571
ADVANCED EYECARE ASSOCIATES OF EASTERN IOWA PC
Optometrist
105 E BUTLER ST
MANCHESTER, IA 52057
Delaware County (563) 927-3759

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 Pediatric Healthcare LLC's NPI number?

The NPI number for Rooted Pediatric Healthcare LLC is 1548029390. It was assigned to this organization in the NPPES registry on March 14, 2024.

Where is Rooted Pediatric Healthcare LLC located?

Rooted Pediatric Healthcare LLC is located at 105 E Butler St, Manchester, IA 52057. The listed phone number is (319) 480-2540.

What is Rooted Pediatric Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Rooted Pediatric Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2301888) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rooted Pediatric Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Rooted Pediatric Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rooted Pediatric Healthcare LLC was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.