Rooted Healthcare, LLC
NPI 1205791761 · Primary Care Nurse Practitioner · Sykesville, MD
Rooted Healthcare, LLC is a Primary Care Nurse Practitioner organization in Sykesville, MD (NPI 1205791761).
Provider details
- NPI number
- 1205791761
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kisun Peters-Diaz, Executive Director(917) 861-2531
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-17
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Rooted Healthcare, LLC's NPI number?
- Rooted Healthcare, LLC's National Provider Identifier (NPI) is 1205791761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rooted Healthcare, LLC?
- Rooted Healthcare, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rooted Healthcare, LLC located?
- Rooted Healthcare, LLC's practice location on file with NPPES is 7610 Main St, Sykesville, MD 21784-7316.
- What is Rooted Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Rooted Healthcare, LLC is (443) 784-3116.
- Who is the authorized official for Rooted Healthcare, LLC?
- The authorized official listed on Rooted Healthcare, LLC's NPPES record is Kisun Peters-Diaz, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rooted Healthcare, LLC's NPI active?
- Yes — Rooted Healthcare, LLC's NPI (1205791761) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.