ROOTED HEALTHCARE, LLC
NPI 1891576591
Nurse Practitioner - Primary Care in Westminster, MD

Q: What is Rooted Healthcare, LLC's NPI number?

The NPI number for Rooted Healthcare, LLC is 1891576591. It was assigned to this organization in the NPPES registry on October 9, 2023.

Q: What is Rooted Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since October 09, 2023

1106 BUSINESS PKWY S STE B, WESTMINSTER, MD 21157(410) 751-7771 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Rooted Healthcare, Llc NPPES

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

ROOTED HEALTHCARE, LLC (NPI 1891576591) is a healthcare organization registered as a primary care in Westminster, Maryland and active in the NPI registry since October 2023. The organization lists Kisun Devon Peters-diaz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891576591

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameROOTED HEALTHCARE, LLC

Location Address1106 BUSINESS PKWY S STE BWestminster, MD 21157-3054

Mailing Address405 N Center St Ste 25Westminster, MD 21157-5126 · (917) 861-2531

Phone(410) 751-7771

Organization SubpartNo

Authorized OfficialKisun Devon Peters-diazExecutive Director · (917) 861-2531

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 9, 2023

✔ NPI 1891576591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedPathology · Clinical Laboratory Director, Non-physicianTaxonomy 247ZC0005X

1106 BUSINESS PKWY S STE B, Westminster, MD 21157

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

ANGELA TERRILL

Licensed Practical Nurse

1106 BUSINESS PKWY S STE B
WESTMINSTER, MD 21157

Carroll County (410) 751-7771

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 Healthcare, LLC's NPI number?

The NPI number for Rooted Healthcare, LLC is 1891576591. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Rooted Healthcare, LLC located?

Rooted Healthcare, LLC is located at 1106 Business Pkwy S Ste B, Westminster, MD 21157. The listed phone number is (410) 751-7771.

What is Rooted Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Rooted Healthcare, LLC was last updated on October 9, 2023. 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.