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HALA D MATA FNP
NPI 1003583014
Nurse Practitioner - Family in Fairfax, VA

Active since August 26, 2021
3053 NUTLEY ST, FAIRFAX, VA 22031(703) 615-8664(914) 206-1568 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2026, Dec 26, 2025, Sep 21, 2021 and 1 more (4 updates tracked since 2021).

About Hala D Mata Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALA D MATA FNP (NPI 1003583014) is an individual family provider in Fairfax, Virginia, licensed in Virginia (F06212895) and active in the NPI registry since August 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003583014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALA D MATACredential: FNP
Location Address3053 NUTLEY STFairfax, VA 22031-1931
Mailing Address16024 Barn Swallow PlWoodbridge, VA 22191-5542 · (703) 615-8664 · Fax (914) 206-1568
Phone(703) 615-8664
Fax(914) 206-1568
Sole ProprietorYes
Enumeration DateAugust 26, 2021
Last NPPES UpdateJanuary 2, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1003583014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · F06212895
3053 NUTLEY ST, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Locations 2

Location 116024 Barn Swallow PlWoodbridge, VA 22191-5542 · Phone (703) 615-8664 · Fax (914) 206-1568
Location 23060 Williams Dr Ste 3104Fairfax, VA 22031-4667 · Phone (703) 661-7484 ext. 19484 · Fax (705) 995-0010

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDRA TAMIKO HALL NP
Nurse Practitioner
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862
HIBA MASOOD FNP-BC
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (866) 389-2727
THERESE TRAN
Pharmacist
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862
TRANG M NGUYEN RPH
Pharmacist
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862
NARAYANA GABRIEL PENNINGTON
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862
KRISTEN DICKERT FNP
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (434) 258-2877
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862
MOAZMA SHAHID NP
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Fairfax County (703) 560-4862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hala Mata's NPI number?

The NPI number for Hala Mata is 1003583014. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Hala Mata located?

Hala Mata practices at 3053 Nutley St, Fairfax, VA 22031. The listed phone number is (703) 615-8664.

What is Hala Mata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Hala Mata was last updated on January 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.