Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rooted Healthcare, LLC

Organization Primary Care Nurse Practitioner · NPI 1205791761

Rooted Healthcare, LLC provides Primary Care Nurse Practitioner services in Sykesville, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7610 Main St
Sykesville, MD 21784-7316
Phone: (443) 784-3116
Fax: (888) 649-3015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1205791761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kisun Peters-Diaz — Executive Director · (917) 861-2531
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address405 N Center St Ste 25, Westminster, MD 21157-5126