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MS. CALLI JEAN VAN DAM AGPCNP
NPI 1205201035
Nurse Practitioner in Bethesda, MD

Active since December 04, 2015
10215 FERNWOOD RD, STE 506, BETHESDA, MD 20817(301) 530-1010(301) 897-8597 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2019, Mar 17, 2018, Mar 8, 2018 and 2 more (5 updates tracked since 2015).

About Ms. Calli Jean Van Dam Agpcnp NPPES

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

MS. CALLI JEAN VAN DAM AGPCNP (NPI 1205201035) is an individual nurse practitioner in Bethesda, Maryland, licensed in District Of Columbia (RN1032619) and active in the NPI registry since December 2015. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1205201035
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CALLI JEAN VAN DAMCredential: AGPCNP
Location Address10215 FERNWOOD RD, STE 506Bethesda, MD 20817-1184
Mailing Address10215 Fernwood Rd, Ste 506Bethesda, MD 20817-1184 · (301) 530-1010 · Fax (301) 897-8597
Phone(301) 530-1010
Fax(301) 897-8597
Sole ProprietorNo
Enumeration DateDecember 4, 2015
Last NPPES UpdateMarch 5, 20195 updates tracked since enumeration
✔ NPI 1205201035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DC · RN1032619
Definition
(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.
10215 FERNWOOD RD, Bethesda, MD 20817
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Secondary Practice Location 1

Location 12150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-3300

Other Identifiers 2

OtherAC002241MD · License
Other0024175551VA · License

Other Providers at the Same Location NPPES 20

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

JACQUELINE PATRICIA APGAR MD
Obstetrics & Gynecology
10215 FERNWOOD RD, 101
BETHESDA, MD 20817
Montgomery County (301) 530-2235
MRS. MARY SADAYA-GUILLERMO P.T.
Physical Therapist
10215 FERNWOOD RD, #506
BETHESDA, MD 20817
Montgomery County (301) 530-1010
RICHARD S MARGOLIS MD
Obstetrics & Gynecology
10215 FERNWOOD RD, SUITE 101
BETHESDA, MD 20817
Montgomery County (301) 530-2235
DR. SRIDHAR DURBHAKULA M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
10215 FERNWOOD RD, SUITE 506
BETHESDA, MD 20817
Montgomery County (301) 530-1010
IVELISSE CUEVAS DDS
Dentist
10215 FERNWOOD RD, #415
BETHESDA, MD 20817
Montgomery County (301) 493-4204
DR. MAHIDHAR DURBHAKULA M.D.
Orthopaedic Surgery (Hand Surgery)
10215 FERNWOOD RD, SUITE 506
BETHESDA, MD 20817
Montgomery County (301) 530-1010
DR. GEORGE BOLEN M.D.
Internal Medicine (Gastroenterology)
10215 FERNWOOD RD, SUITE 404
BETHESDA, MD 20817
Montgomery County (301) 493-5210
EVA RAND RD
Dietitian, Registered
10215 FERNWOOD RD, SUITE 100
BETHESDA, MD 20817
Montgomery County (301) 547-0569

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 Calli Van Dam's NPI number?

The NPI number for Calli Van Dam is 1205201035. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Calli Van Dam located?

Calli Van Dam practices at 10215 Fernwood Rd Ste 506, Bethesda, MD 20817. The listed phone number is (301) 530-1010.

What is Calli Van Dam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Calli Van Dam was last updated on March 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.