Healthcare Provider Details

I. General information

NPI: 1558802108
Provider Name (Legal Business Name): KERI REDMAN C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KERI GEARHEART

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 HIGHLAND AVE SE STE 301
ROANOKE VA
24013-2253
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-985-9700
  • Fax: 540-301-6283
Mailing address:
  • Phone: 540-224-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024177976
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0992892-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: