Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOTED HEALTH PRIMARY CARE, PLLC
NPI 1669305371
Clinic/Center - Primary Care in Broken Arrow, OK

Q: What is Rooted Health Primary Care, PLLC's NPI number?

The NPI number for Rooted Health Primary Care, PLLC is 1669305371. It was assigned to this organization in the NPPES registry on June 4, 2026.

Q: What is Rooted Health Primary Care, PLLC's specialty?

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

Active since June 04, 2026CLIA 37D2342279 · Waiver

1409 E KENOSHA ST, BROKEN ARROW, OK 74012(918) 262-4515(949) 883-7221 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Jun 4, 2026 (2 updates tracked since 2026).

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About Rooted Health Primary Care, Pllc NPPES

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

ROOTED HEALTH PRIMARY CARE, PLLC (NPI 1669305371) is a healthcare organization registered as a primary care in Broken Arrow, Oklahoma and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Erin Ashley, Owner, as its authorized official.

NPPES Registry Identity

NPI1669305371

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameROOTED HEALTH PRIMARY CARE, PLLC

Location Address1409 E KENOSHA STBroken Arrow, OK 74012-2012

Mailing Address1409 E Kenosha StBroken Arrow, OK 74012-2012

Phone(918) 262-4515

Fax(949) 883-7221

Organization SubpartNo

Authorized OfficialErin AshleyOwner · (918) 520-4742

Enumeration DateJune 4, 2026

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1669305371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1409 E KENOSHA ST, Broken Arrow, OK 74012

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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 37D2342279

Rooted Health Primary Care, PLLC · Broken Arrow, OK

Active · expires Apr 15, 2028

CLIA Number37D2342279

Laboratory TypeMobile Laboratory

Certificate Effective DateApril 16, 2026

Certificate Expiration DateApril 15, 2028

Laboratory DirectorErin E. Ashley

Laboratory Phone(918) 520-4742

Laboratory LocationRooted Health Primary Care, PLLC6320 N 24th St, Broken Arrow, OK 74014

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LANA RENAE PETERS RDMS

Radiology (Diagnostic Ultrasound)

1409 E KENOSHA ST
BROKEN ARROW, OK 74012

Tulsa County (918) 510-5115

ERIN ELANE ASHLEY PA-C

Physician Assistant

1409 E KENOSHA ST
BROKEN ARROW, OK 74012

Tulsa County (918) 262-4515

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 Health Primary Care, PLLC's NPI number?

The NPI number for Rooted Health Primary Care, PLLC is 1669305371. It was assigned to this organization in the NPPES registry on June 4, 2026.

Where is Rooted Health Primary Care, PLLC located?

Rooted Health Primary Care, PLLC is located at 1409 E Kenosha St, Broken Arrow, OK 74012. The listed phone number is (918) 262-4515.

What is Rooted Health Primary Care, PLLC's specialty?

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

Does Rooted Health Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2342279) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rooted Health Primary Care, PLLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.