WELL-ROOTED PEDIATRICS LLC
NPI 1780157602
Nurse Practitioner - Family in Crystal Lake, IL
About Well-rooted Pediatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELL-ROOTED PEDIATRICS LLC (NPI 1780157602) is a healthcare organization registered as a family in Crystal Lake, Illinois and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Jessica Pawlicki, Aprn, Fnp-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 14D2156478
Well-Rooted Pediatrics L L C · Crystal Lake, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRYSTAL LAKE, IL 60014
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 Well-Rooted Pediatrics LLC's NPI number?
The NPI number for Well-Rooted Pediatrics LLC is 1780157602. It was assigned to this organization in the NPPES registry on January 3, 2019.
Where is Well-Rooted Pediatrics LLC located?
Well-Rooted Pediatrics LLC is located at 820 E Terra Cotta Ave Ste 132, Crystal Lake, IL 60014. The listed phone number is (815) 322-9300.
What is Well-Rooted Pediatrics LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Well-Rooted Pediatrics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2156478) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Well-Rooted Pediatrics LLC was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Well-Rooted Pediatrics Llc · NPI 1780157602
Family organization in Crystal Lake, Illinois. Organization record, active in the CMS NPPES registry since January 3, 2019.
## Identity
- **NPI:** 1780157602 (Entity type: Organization)
- **Enumerated:** January 3, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jessica Pawlicki, APRN, FNP-C
## Practice location
- **Address:** 820 E TERRA COTTA AVE STE 132, Crystal Lake, IL 60014-3655
- **Phone:** (815) 322-9300
## Record status
- **NPPES last updated:** January 3, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780157602) · Data from the CMS NPPES public registry.