Tierra Royal, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024189873 Issued in VA

Practice address

1300 Emancipation Hwy
Fredericksburg, VA 22401-4600

Phone

(540) 289-2273

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Starting Point of Virginia PCGroup PAC ID 9931535820, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starting Point of Virginia, P.C.

  • Multi-Specialty Clinic/Center
  • Abingdon, VA
  • NPI 1760949127
  Medicare reassignment Care Compare group NPD
• Naeco Health & Recovery, PLLC

  • Nurse Practitioner
  • Richmond, VA
  • NPI 1033052493
  NPD Authorized official
• Centercare Family Practice, LLC

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1497106504
  NPD
• Starting Point of Virginia, P.C.

  • Clinical Medical Laboratory
  • Abingdon, VA
  • NPI 1720656259
  NPD
• Pedsplus Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1275087553
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1205696010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 VILLAGE PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067297",
            "telephone_number": "703-776-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EMANCIPATION HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014600",
            "telephone_number": "540-289-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "TIERRA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024189873",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Routten, DPT
• Tailor Rowe-Cheatham, DPT
• Cameron Michael Rowe, OD
• Patricia Roy
• Royal Chariot Transportation Services LLC
• C. Edward Royster, MD
• Abigail Rubio, MD
• Kim Ann Rudat, LPC
• Carmen Thomas Rugg, OCCUPATIONAL THERAPY
• David A Ruggieri, CRNA

• Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.