Rooted Family Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOTED FAMILY CARE PLLC

Practice address

1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250

Phone

(479) 222-1144

NPI assigned

Sep 2, 2024

Last updated

Oct 28, 2024By 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

Dr. Bailee Lutz, MDNPI 1598227787

Title

Owner

Phone

(479) 222-1144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Bailee Lutz, MD

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1598227787
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey C Bearden, MD

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1992768105
  Medicare reassignment Care Compare group NPD
• Victoria Renee Peckenpaugh, APRN

  • Family Nurse Practitioner
  • Fayetteville, AR
  • NPI 1033928098
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1366277295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035250",
            "telephone_number": "479-222-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035250",
            "telephone_number": "479-222-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-222-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Romero-Mancia
• Jovan Romero
• Lauren Mackenzie Romo, PHARMD
• Root & Rise, LLC
• Rooted Counseling & Consulting, LLC
• Rooted Hope Counseling and Consulting PLC
• Rooted Therapy and Wellness, PLLC
• Ros Family Medicine LLC
• Ananda Engber Rosa, LCSW
• Johanna Rosa

• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.