Organization Active NPI

Basis LLC Dba Rerooted

  • Nurse Practitioner
  • East Hampstead, NH
National Provider Identifier
1659285062
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BASIS LLC DBA REROOTED
Practice address
45 Danivelle Rd
East Hampstead, NH 03826
Phone
(603) 704-4228
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Mrs. Krystle Disorbo, APRN
Title
Nurse Practitioner
Phone
(603) 704-4228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

45 Danivelle Rd
East Hampstead, NH 03826

Mailing address

45 Danivelle Rd
East Hampstead, NH 03826
Phone (603) 704-4228

National Provider Directory

National Provider Directory

Locations

45 Danville Rd
East Hampstead, NH 03826
Phone (603) 382-0019

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1659285062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DANIVELLE RD",
            "city": "EAST HAMPSTEAD",
            "state": "NH",
            "postal_code": "03826",
            "telephone_number": "603-704-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DANIVELLE RD",
            "city": "EAST HAMPSTEAD",
            "state": "NH",
            "postal_code": "03826",
            "telephone_number": "603-704-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIS LLC DBA REROOTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "DISORBO",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "603-704-4228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampstead, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.