Active NPI
Community Roots Health LLC
- Family Medicine Physician
- Palatka, FL
National Provider Identifier
1821958406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY ROOTS HEALTH LLC
- Practice address
- 700 Zeagler Dr Ste 6
Palatka, FL 32177-3826 - Phone
- (386) 267-7318
- Fax
- (386) 267-7318
- NPI assigned
- Nov 14, 2025
- 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
- Mrs. Katya Maria Tsangarakis, APRN
- Title
- Owner
- Phone
- (954) 940-0453
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Mailing address
700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Phone (386) 267-7376
Other names 2
- COMMUNITY ROOTS HEALTH
- COMMUNITY ROOTS HEALTH LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2342751 | Community Roots Health LLC | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Palatka, FL
- NPI 1306568159
-
- Psychiatric/Mental Health Nurse Practitioner
- Palatka, FL
- NPI 1881559607
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1538519640
-
- Internal Medicine Physician
- Palatka, FL
- NPI 1417024183
-
- Student in an Organized Health Care Education/Training Program
- Palatka, FL
- NPI 1174343776
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783036800000",
"number": "1821958406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR STE 6",
"city": "PALATKA",
"state": "FL",
"postal_code": "321773826",
"telephone_number": "386-267-7376",
"fax_number": "386-267-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR STE 6",
"city": "PALATKA",
"state": "FL",
"postal_code": "321773826",
"telephone_number": "386-267-7318",
"fax_number": "386-267-7318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ROOTS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A",
"authorized_official_last_name": "TSANGARAKIS",
"authorized_official_first_name": "KATYA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-940-0453",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY ROOTS HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "COMMUNITY ROOTS HEALTH LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.