Individual provider Active NPI

Tara Michelle Royster, AU.D.

  • Audiologist
  • Falls Church, VA
National Provider Identifier
1285163584
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001217 Issued in VA
Practice address
5657 Columbia Pike Ste 100
Falls Church, VA 22041-2876
Phone
(703) 533-8008
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001217 VA Primary

Addresses

Primary practice location

5657 Columbia Pike Ste 100
Falls Church, VA 22041-2876

Mailing address

3552 Woodlake Dr
Silver Spring, MD 20904-4670
Phone (706) 464-8853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000012 DC Practitioner - Qualified Audiologist 5395004303 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001217VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Apr 23, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Apr 23, 2025 Accepting new patients
Audiological Associates, Inc. Past Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

2500 Wilson Blvd
Ste 105
Arlington, VA 22201
Phone (703) 525-1898

611 S Carlin Springs Rd
Ste 106
Arlington, VA 22204
Phone (703) 933-1960

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1285163584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 WOODLAKE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044670",
            "telephone_number": "706-464-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 COLUMBIA PIKE STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412876",
            "telephone_number": "703-533-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.