Active NPI
Rooted Health Primary Care LLC
- Adult Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1053262261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- ROOTED HEALTH PRIMARY CARE LLC
- Practice address
- 1101 Oakridge Dr Unit a
Fort Collins, CO 80525-5536 - Phone
- (970) 341-8740
- Fax
- (800) 927-8550
- NPI assigned
- Feb 4, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynsey Mahlum
- Title
- Owner
- Phone
- (206) 913-7125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | Primary |
Addresses
Primary practice location
1101 Oakridge Dr Unit a
Fort Collins, CO 80525-5536
Mailing address
1101 Oakridge Dr Unit a
Fort Collins, CO 80525-5536
Phone (970) 341-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Greeley, CO
- NPI 1528362340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1053262261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 OAKRIDGE DR UNIT A",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255536",
"telephone_number": "970-341-8740",
"fax_number": "800-927-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OAKRIDGE DR UNIT A",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255536",
"telephone_number": "970-341-8740",
"fax_number": "800-927-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEALTH PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-04",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "MAHLUM",
"authorized_official_first_name": "LYNSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-913-7125"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.