Active NPI
Sherifat I Forcey, NP
- Psychiatric/Mental Health Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024189402
- Practice address
- 2017 Jefferson St SW
Roanoke, VA 24014-2419 - Phone
- (540) 981-8025
- NPI assigned
- Sep 26, 2019
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 223721 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61411911 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024189402 | VA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 35365 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 85745 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10263 | MN | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN645264 | PA |
Addresses
Primary practice location
2017 Jefferson St SW
Roanoke, VA 24014-2419
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000
Other practice location 2
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
Other practice location 3
2331 Market St
Camp Hill, PA 17011-4642
Phone (717) 884-6487
Other practice location 4
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660
Other practice location 5
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836
Other practice location 6
400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191
Other practice location 7
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000
Other practice location 8
401 E Spruce St
Garden City, KS 67846-5679
Phone (303) 673-7531
Other practice location 9
55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651
Other practice location 10
1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4100
Other practice location 11
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
Other practice location 12
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220
Other practice location 13
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 14
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other practice location 15
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 16
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000
Other practice location 17
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000
Other practice location 18
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other practice location 19
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300
Other practice location 20
2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141
Other practice location 21
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
Other practice location 22
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other practice location 23
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000
Other practice location 24
58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000
Other practice location 25
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC, WI, MO, MN, CT, OR, WA, TN, VA, MI, AK, NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Drexel University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
Camp Hill, PA 17011
Phone (541) 222-2185
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-5640
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249
2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6475
2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992
317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130
41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444
6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 776-8040
700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN645264 | PA | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 10263 | MN | MD | Physician Assistant |
| 0024189402 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (60 of 65)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Hickman Community Health Careservices | Current | Accepting new patients | |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Whiteville Mat Services, Inc. | Current | Accepting new patients | |
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients |
Locations (25 of 59)
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
7655 Solutions Ctr
Chicago, IL 60677
8175 Reliable Pkwy
Chicago, IL 60686
5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
501 Billingsley Rd
#B
Charlotte, NC 28211
Phone (704) 444-2400
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
109 Leslie Newsome Ave
Whiteville, NC 28472
Phone (910) 640-1830
Networks
- WA PPO C-SNP
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- sforcey2998487@carolinashealthcaresystem.direct-ci.com
- sforcey663391@direct.peacehealth.org
Organizations & group practices 67
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1043861438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 JEFFERSON ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142419",
"telephone_number": "540-981-8025"
}
],
"practiceLocations": [
{
"address_1": "300 Med Tech Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042277",
"country_code": "US",
"telephone_number": "423-302-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1990 Holton Ave E",
"address_purpose": "LOCATION",
"city": "Big Stone Gap",
"state": "VA",
"postal_code": "242193350",
"country_code": "US",
"telephone_number": "276-523-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2331 Market St",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170114642",
"country_code": "US",
"telephone_number": "717-884-6487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-228-7660",
"fax_number": "907-228-8549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-636-4836",
"fax_number": "360-636-6792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 NE Mother Joseph Pl",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986643200",
"country_code": "US",
"telephone_number": "360-514-3191",
"fax_number": "360-729-3372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11600 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-0000",
"fax_number": "720-321-4165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 E Spruce St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "KS",
"postal_code": "678465679",
"country_code": "US",
"telephone_number": "303-673-7531",
"fax_number": "303-397-2054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Hatchetts Hill Rd",
"address_purpose": "LOCATION",
"city": "Old Lyme",
"state": "CT",
"postal_code": "063711534",
"country_code": "US",
"telephone_number": "800-370-3651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371292245",
"country_code": "US",
"telephone_number": "615-396-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brookside Dr",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604627",
"country_code": "US",
"telephone_number": "423-857-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Coon Rapids Blvd NW",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554332522",
"country_code": "US",
"telephone_number": "612-262-1220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "851 Locust St",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "TN",
"postal_code": "378572407",
"country_code": "US",
"telephone_number": "423-921-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1519 Main St",
"address_purpose": "LOCATION",
"city": "Sneedville",
"state": "TN",
"postal_code": "378693657",
"country_code": "US",
"telephone_number": "423-733-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 W Elk Ave",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432874",
"country_code": "US",
"telephone_number": "423-542-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2030 Temple Hill Rd",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376508721",
"country_code": "US",
"telephone_number": "423-743-3141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 Carroll Street",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242664510",
"country_code": "US",
"telephone_number": "276-883-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Clintwood",
"state": "VA",
"postal_code": "242286786",
"country_code": "US",
"telephone_number": "276-926-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORCEY",
"first_name": "SHERIFAT",
"middle_name": "I",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "223721",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61411911",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024189402",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "35365",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "85745",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "10263",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "RN645264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.