EVELYN C. MOGADAM NP
NPI 1205886405
Nurse Practitioner in Falls Church, VA

Q: What is Evelyn Mogadam's NPI number?

The NPI number for Evelyn Mogadam is 1205886405. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Evelyn Mogadam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evelyn Mogadam was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2006

2901 TELESTAR CT STE 200, FALLS CHURCH, VA 22042(703) 573-3494(703) 573-5353 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Aug 27, 2021, Oct 28, 2020 and 2 more (5 updates tracked since 2016).

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About Evelyn C. Mogadam Np NPPES

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

EVELYN C. MOGADAM NP (NPI 1205886405) is an individual nurse practitioner in Falls Church, Virginia, licensed in Virginia (0001077801) and active in the NPI registry since May 2006. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1205886405

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEVELYN C. MOGADAMCredential: NP

Location Address2901 TELESTAR CT STE 200Falls Church, VA 22042-1262

Mailing Address4207 Ann Fitzhugh Dr.Annandale, VA 22003 · (703) 796-3075

Phone(703) 573-3494

Fax(703) 573-5353

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateMay 8, 20235 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1205886405 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 VA · 0001077801

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.

2901 TELESTAR CT STE 200, Falls Church, VA 22042

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Secondary Practice Location 1

Location 14660 Kenmore Ave, #1200Alexandria, VA 22304-1313 · Phone (703) 751-8111 · Fax (703) 751-1105

Other Providers at the Same Location NPPES 17

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

LINDSEY A. CILIA M.D.

Internal Medicine (Interventional Cardiology)