Individual provider Active NPI

Tara Scherer Haley, NP

  • Family Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1053436295
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167968 Issued in VA
Practice address
6225 Brandon Ave Ste 365
Springfield, VA 22150-2526
Phone
(571) 642-3443
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024167968 VA Primary
Registered Nurse 163W00000X 0001214973 VA
Registered Nurse 163W00000X 0024167968 VA

Addresses

Primary practice location

6225 Brandon Ave Ste 365
Springfield, VA 22150-2526

Mailing address

6225 Brandon Ave Ste 365
Springfield, VA 22150-2526
Phone (571) 642-3433

Other practice location 1

1046 Tulip Ter
Rockingham, VA 22801-5324
Phone (540) 421-0779

Other identifiers 1

IdentifierTypeStateIssuer
22524700MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040901000604 DC Practitioner - Nurse Practitioner 3375518301 Reassigns benefits to 1 organization
I20111101000001 VA Practitioner - Nurse Practitioner 3375518301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, shared by 21 NPIs, 181 clinicians

Practice addresses (Care Compare)

Springfield, VA 22150
Phone (571) 642-3433

Williamsburg, VA 23185
Phone (757) 941-5600

6716 Newbold Dr
Bethesda, MD 20817-2223
Phone (800) 759-7291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001214973VAMDRegistered Nurse
0024167968VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 30, 2024 Accepting new patients
Vpa PC CurrentSince May 1, 2024 Accepting new patients
Valley Family & Elder Care, PLC CurrentSince Feb 8, 2016 Accepting new patients
Vpa PC CurrentSince May 1, 2024 Accepting new patients

Locations

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

6225 Brandon Ave
Ste 365
Springfield, VA 22150
Phone (571) 642-3433

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Interoperability endpoints

  • Direct secure messaging: tara.haley.1@32913.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1053436295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 365",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502526",
            "telephone_number": "571-642-3433",
            "fax_number": "855-998-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 365",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502526",
            "telephone_number": "571-642-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Tulip Ter",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228015324",
            "country_code": "US",
            "telephone_number": "540-421-0779",
            "fax_number": "540-438-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "TARA",
        "middle_name": "SCHERER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167968",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001214973",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0024167968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22524700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.