Rooted Healthcare, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ROOTED HEALTHCARE, LLC

Practice address

7610 Main St
Sykesville, MD 21784-7316

Phone

(443) 784-3116

Fax

(888) 649-3015

NPI assigned

Dec 17, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kisun Peters-Diaz

Title

Executive Director

Phone

(917) 861-2531

Specialties & licenses 1

Addresses

Locations

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.

• Shannon M Gugliotta, CRNP

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1861191173
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1205791761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CENTER ST STE 25",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575126",
            "telephone_number": "917-861-2531",
            "fax_number": "888-649-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 MAIN ST",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847316",
            "telephone_number": "443-784-3116",
            "fax_number": "888-649-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "PETERS-DIAZ",
        "authorized_official_first_name": "KISUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-861-2531"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ellen Riggs
• Rivera Consulting, LLC
• Mackenzie Robbins
• Laurinda Rockefeller, PTA
• Leslie Rogers, LCSW-C
• Roots of Strength, LLC
• Hannah Marie Rose, PA-C
• Betsy Rosenbaum-Cassel, LCSW-C
• Erik Jordan Roskes, M.D.
• Gregory Rubin, LCPC

• Primary Care Nurse Practitioner in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.