EVELYN C. MOGADAM (NPI# 1205886405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205886405 |
| Entity Type | Individual |
| Full Name | EVELYN C. MOGADAM |
| Credential | NP |
| Practice Address |
2901 Telestar Ct Ste 200 Falls Church VA 22042-1262 |
| Mailing Address |
2901 Telestar Ct Ste 300 Falls Church VA 22042-1263 |
| Practice Telephone | 7035733494 |
| Practice Fax Number | 7035735353 |
| Mailing Telephone | 7035911688 |
| Mailing Fax Number | 7035911445 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0001077801 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | RAILROAD MEDICARE | P01244135 | 01 |
| VA | 1205886405 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 Kenmore Ave, #1200, Alexandria, VA 223041313 | 7037518111 | 7037511105 |
| Street Address |
2901 TELESTAR CT STE 200 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951062 | Anthony C. Chang | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2005-06-10 |
| 1538798962 | Jenny Kim | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2020-04-07 |
| 1730637356 | Rachel N Yomtob | Physician Assistant | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2016-09-12 |
| 1235682014 | Kristina Kierl | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042 | 2016-07-28 |
| 1275633679 | Timothy Steven Welch | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2006-09-25 |
| 1427024652 | Alireza Maghsoudi | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386015816 | Ekua Mccalla | Nurse Practitioner | 400 S Maple Ave Ste 200, Falls Church, VA 22046-4243 | 2015-10-09 |
| 1912330192 | Planned Parenthood of Metropolitan Washington Dc | Nurse Practitioner | 303 S. Maple Ave, Falls Church, VA 22046-4263 | 2013-08-12 |
| 1487923397 | Ann H Maradiegue | Nurse Practitioner | 6150 Beachway Dr, Falls Church, VA 22041-1429 | 2011-12-21 |
| 1568587723 | Dana Anne Raskin | Nurse Practitioner | 716 E Broad St, Falls Church, VA 22046-3610 | 2007-03-20 |
| 1447293477 | Emily M Marlow | Nurse Practitioner | 8110 Gatehouse Rd, Falls Church, VA 22042-1252 | 2006-06-14 |
| 1417906868 | Linda A. Gehr | Nurse Practitioner | 3440 S Jefferson St, Falls Church, VA 22041 | 2006-05-10 |
| 1528029469 | Catherine G Quinn | Nurse Practitioner | 407 N Washington St, #100, Falls Church, VA 22046 | 2006-03-30 |
| 1558991034 | Carey A Vincent | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-01-23 |
| 1760022321 | Jonathan J Mcmann | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-01-13 |
| 1679110951 | Bridget Uzuazomaro Famogun | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-12-05 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on EVELYN C. MOGADAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.