Individual provider Active NPI

Tara E Spalding, PA-C

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1255812129
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007328 Issued in VA
Practice address
11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone
(757) 534-7701
Fax
(757) 534-7708
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002506A IN
Physician Assistant 363A00000X 0110007328 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390

Mailing address

4374 New Town Ave
Williamsburg, VA 23188-2865

Other practice location 1

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 772-6124

Other practice location 2

217 Bulifants Blvd Ste B
Williamsburg, VA 23188-5751
Phone (757) 534-7701

Other identifiers 1

IdentifierTypeStateIssuer
300027406MedicaidIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201117003161 VA Practitioner - Physician Assistant 4183951486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285

217 Bulifants Blvd
Suite B
Williamsburg, VA 23188-5751
Phone (757) 534-7701

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007328VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Dec 4, 2024 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Capital Digestive Care LLC CurrentSince Dec 4, 2024 Accepting new patients
Capital Digestive Care ,LLC Physician Assistant Past Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 410
Laurel, MD 20707
Phone (301) 498-5500

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 301
Rockville, MD 20852

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Interoperability endpoints

  • FHIR API: https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1255812129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4374 New Town Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882865",
            "country_code": "US",
            "telephone_number": "757-772-6124",
            "fax_number": "757-267-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885751",
            "country_code": "US",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "TARA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002506A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027406",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.