Organization · Type 2 NPI

Planned Parenthood South Atlantic

Women's Health Nurse Practitioner · Roanoke, VA

NPI number 1134214968 Active

Practice location

2207 Peters Creek Rd NW
Roanoke, VA 24017

Call (540) 562-3457 Map

Fax (540) 562-2735

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802

Specialties and licenses

Taxonomy	Code	License
Women's Health Nurse Practitioner Primary	363LW0102X	None listed

Women's Health Nurse Practitioner: Definition to come...

2 other providers at this address

Planned Parenthood Health SystemsNon-Surgical Family Planning Clinic/Center Roanoke, VA NPI 1902053168
Anne Logan Forsyth Bass, FNPFamily Nurse Practitioner Roanoke, VA NPI 1831459387

NPI record

NPI: 1134214968
Entity type: Organization (Type 2)
Issued: Oct 4, 2006
Last updated: Aug 24, 2026
Status: Active

Other names

<unavail>
Planned Parenthood Health Systems, Inc · former legal business name
Planned Parenthood Health Systems, Inc · former legal business name

Authorized official

Tearra Alexandria Raynor
Director of Revenue Cycle
(919) 833-7526

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1134214968

Planned Parenthood South Atlantic's National Provider Identifier is 1134214968, issued on Oct 4, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Roanoke, VA. The record was last updated on Aug 24, 2026.