Active NPI
Rooted Health & Wellness
- Family Nurse Practitioner
- Monroeville, PA
National Provider Identifier
1801528633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ROOTED HEALTH & WELLNESS
- Practice address
- 170 Jamison LN Ste C
Monroeville, PA 15146-2327 - Phone
- (412) 646-1339
- NPI assigned
- Jun 29, 2022
- 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
- Lynn Petrocelli, CRNP
- Title
- Provider
- Phone
- (412) 464-1339
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
170 Jamison LN Ste C
Monroeville, PA 15146-2327
Mailing address
170 Jamison LN Ste C
Monroeville, PA 15146-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999999999 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.rootedhealthandwellness.com | Health Information Exchange (HIE) |
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.
-
- Family Nurse Practitioner
- Murrysville, PA
- NPI 1922431501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1801528633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 JAMISON LN STE C",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 JAMISON LN STE C",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462327",
"telephone_number": "412-646-1339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "PETROCELLI",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "412-464-1339",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999999999999",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.rootedhealthandwellness.com",
"affiliation": "N",
"endpointDescription": "www.rootedhealthandwellness.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "170 Jamison Ln Ste C",
"city": "Monroeville",
"state": "PA",
"country_code": "US",
"postal_code": "151462327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.