Individual provider · Type 1 NPI

Tara Keith

Gerontology Nurse Practitioner · Roanoke, VA

NPI number 1407396542 Active

Practice location

3 Riverside Cir
Roanoke, VA 24016-4955

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1900 Electric Rd, Salem, VA 24153-7474 · (540) 776-4000
  • 2001 Crystal Spring Ave SW, Roanoke, VA 24014-2462 · (540) 981-7000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X0024174587 (VA)
Gerontology Nurse Practitioner Primary 363LG0600X0024174587 (VA)
Adult Health Nurse Practitioner 363LA2200X0024174587 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407396542

Tara Keith's National Provider Identifier is 1407396542, issued on Mar 7, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Roanoke, VA. The record was last updated on Nov 11, 2025.