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 is a Primary Care Nurse Practitioner 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