Individual provider Active NPI

Tara M Spence, NP-C

  • Nurse Practitioner
  • Low Moor, VA
National Provider Identifier
1912414954
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175616 Issued in VA
Practice address
200 Arh LN.
Low Moor, VA 24457-0007
Phone
(540) 862-7064
Fax
(540) 862-5727
NPI assigned
Dec 29, 2017
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175616 VA Primary
Nurse Practitioner 363L00000X APRN75209NP WV

Addresses

Primary practice location

200 Arh LN.
Low Moor, VA 24457-0007

Mailing address

PO Box 457
White Sulphur Springs, WV 24986-0457
Phone (304) 536-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20180226000417 VA Practitioner - Nurse Practitioner 5395006886 Reassigns benefits to 2 organizations
I20180511002069 WV Practitioner - Nurse Practitioner 5395006886 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

128 Community LN
White Sulphur Springs, WV 24986-1105
Phone (304) 956-2577

176 Medical Ctr Dr
Rainelle, WV 25962-1064

2140 Jefferson St N
Lewisburg, WV 24901-7702
Phone (681) 484-7042

296 Fair St
Lewisburg, WV 24901-2632
Phone 30443861881002

595 Spartan LN
Lewisburg, WV 24901-9438
Phone (304) 645-1052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN75209NPWVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1912414954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860457",
            "telephone_number": "304-536-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARH LN.",
            "city": "LOW MOOR",
            "state": "VA",
            "postal_code": "244570007",
            "telephone_number": "540-862-7064",
            "fax_number": "540-862-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175616",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN75209NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Low Moor, VA

Sources for this page

Verify at the official NPI Registry.