Individual provider Active NPI

Tara Lynn Urschel, D.C.

  • Chiropractor
  • Ashburn, VA
National Provider Identifier
1932149796
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556622 Issued in VA
Practice address
20955 Professional PLZ Ste 320
Ashburn, VA 20147-3405
Phone
(571) 918-0795
Fax
(571) 251-2789
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03423 MD
Chiropractor 111N00000X 0104556622 VA Primary

Addresses

Primary practice location

20955 Professional PLZ Ste 320
Ashburn, VA 20147-3405

Mailing address

20955 Professional PLZ Ste 320
Ashburn, VA 20147-3405
Phone (571) 918-0795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203002078 VA Practitioner - Chiropractic 8426222795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Family and Sports Chiropractic IncGroup PAC ID 3375572753, 2 clinicians

Practice addresses (Care Compare)

19420 Golf Vista PLZ
Suite 220
Leesburg, VA 20176-8267
Phone (301) 356-2824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03423MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Sports Chiropractic Inc Chiropractor CurrentSince Sep 28, 2011 Accepting new patients

Locations

20955 Professional Plz
Ste 320
Ashburn, VA 20147
Phone (571) 918-0795

19420 Golf Vista Plz
Ste 220
Leesburg, VA 20176
Phone (301) 356-2824

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1932149796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ STE 320",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "571-918-0795",
            "fax_number": "571-251-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ STE 320",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "571-918-0795",
            "fax_number": "571-251-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSCHEL",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03423",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.