Active NPI
Tara E Spalding, PA-C
- Physician Assistant
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300027406 | Medicaid | IN |
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
Enrollment records 1
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
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
- Sentara Careplex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007328 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Digestive Care, LLC | Current | Accepting new patients | |
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| Capital Digestive Care LLC | Current | 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
- 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.
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- Gastroenterology Physician
- Chesapeake, VA
- NPI 1225246812
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
-
- Gastroenterology Physician
- Suffolk, VA
- NPI 1760541460
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.