Organization Active NPI

Rooted Health & Wellness

  • Family Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1801528633
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Lynn Petrocelli, CRNPNPI 1922431501
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
999999999999MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.rootedhealthandwellness.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.