ROOTED REMEDIES LLC
NPI 1821985680
Family Medicine in Broken Arrow, OK

Active since June 23, 2025CLIA 37D2348935 · Waiver
1215 N BIRCH AVE, BROKEN ARROW, OK 74012(918) 960-0926 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rooted Remedies Llc NPPES

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

ROOTED REMEDIES LLC (NPI 1821985680) is a healthcare organization registered as a family medicine in Broken Arrow, Oklahoma and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Reanna Harris, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1821985680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROOTED REMEDIES LLC
Location Address1215 N BIRCH AVEBroken Arrow, OK 74012-2690
Mailing Address1215 N Birch AveBroken Arrow, OK 74012-2690 · (918) 960-0926
Organization SubpartNo
Authorized OfficialReanna HarrisOwner/np · (918) 960-0926
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1821985680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1215 N BIRCH AVE, Broken Arrow, OK 74012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rooted Remedies Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rooted Remedies LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1619863545
1215 N BIRCH AVE
Broken Arrow, OK 74012
(918) 960-0926
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922498476
1215 N BIRCH AVE
Broken Arrow, OK 74012
(918) 960-0926
✔ PECOS✔ Accepts MedicareSame address

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

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 37D2348935

Rooted Remedies LLC · Broken Arrow, OK
Active · expires Aug 12, 2028
CLIA Number37D2348935
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorReanna D. Harris
Laboratory Phone(918) 960-0926
Laboratory LocationRooted Remedies LLC1215 N Birch Avenue, Broken Arrow, OK 74012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Remedies LLC's NPI number?

The NPI number for Rooted Remedies LLC is 1821985680. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Rooted Remedies LLC located?

Rooted Remedies LLC is located at 1215 N Birch Ave, Broken Arrow, OK 74012. The listed phone number is (918) 960-0926.

What is Rooted Remedies LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rooted Remedies LLC enrolled in Medicare?

Yes. Rooted Remedies LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rooted Remedies LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Rooted Remedies LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rooted Remedies LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2348935) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rooted Remedies LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Rooted Remedies 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 Remedies LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.