Tara Smith

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110005062 Issued in VA

Practice address

8233 Old Courthouse Rd Ste 170
Vienna, VA 22182-3833

Phone

(703) 556-9318

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Wilds Other name

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: tara.smith@cpcl.eclinicaldirectplus.com

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.

• Comprehensive Primary Care and Associates LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  VA

  Medicare reassignment Care Compare group
• Northern Virginia Family Medicine, PC

  • Health Service Clinic/Center
  • Manassas, VA
  • NPI 1215197025
  Medicare reassignment

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1962861096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 OLD COURTHOUSE RD STE 170",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 OLD COURTHOUSE RD STE 170",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823833",
            "telephone_number": "703-556-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WILDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Smith, OD
• Allison Smith
• Kathleen Smith
• Laurie J. Smith, M.S.
• Sara Smith, FNP-C
• Virginia Smith, PH.D.
• Windy Smith
• Ethan Snider, PA-C
• Meaghan Sniegowski
• Charles Richard Snively Jr., OD

• Medical Physician Assistant in Vienna, VA
• Providers in Vienna, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.

Verify at the official NPI Registry.