Rooted Remedies LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOTED REMEDIES LLC

Practice address

1215 N Birch Ave
Broken Arrow, OK 74012-2690

Phone

(918) 960-0926

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By 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

Reanna Harris, NPNPI 1619863545

Title

Owner/NP

Phone

(918) 960-0926

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• Reanna Harris

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1619863545
  Medicare reassignment Care Compare group NPD Authorized official
• Kryston Leah Salsman, CNP

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1922498476
  Medicare reassignment Care Compare group NPD
• Kevin Fu, MD

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1376938167
  NPD (past)

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1821985680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122690",
            "telephone_number": "918-960-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122690",
            "telephone_number": "918-960-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED REMEDIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "REANNA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "918-960-0926",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Allen Rolland, DDS
• Myles Rollerson
• Lindsay Brooke Roman, SLP
• Terry Robert Root, D.D.S.
• Rooted Health Primary Care, PLLC
• Kyler Roper, PHARMD
• Jennie Louise Rose, SLP
• Amanda Paige Rosentreter
• Janice S. Ross, M.S. LPC
• Jeffry Alan Ross, O.D.

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.