Rooted Healthcare, LLC
NPI 1891576591ActiveOrganization· Nurse Practitioner, Primary Care· Westminster, MD
Nurse Practitioner, Primary Care in Westminster, Maryland, registered in NPPES in October 2023. The authorized official on file is Kisun Devon Peters-Diaz, Executive Director.
Overview
| NPI | 1891576591 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2023 |
| Last updated in NPPES | Oct 9, 2023 |
| Certified by provider | Oct 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Pathology, Clinical Laboratory Director, Non-physician | 247ZC0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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