Individual provider Active NPI

Tali Stopak-Mathis, FNP-BC

  • Family Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1114263977
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP46450 Issued in DC
Practice address
3180 Fairview Park Dr Ste 500
Falls Church, VA 22042-4583
Phone
(703) 538-2066
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CN1300584 DC
Family Nurse Practitioner 363LF0000X NP46450 DC Primary

Addresses

Primary practice location

3180 Fairview Park Dr Ste 500
Falls Church, VA 22042-4583

Mailing address

3180 Fairview Park Dr Ste 50
Falls Church, VA 22042-4583
Phone (703) 538-2066

Other practice location 1

3720 Upton St NW
Washington, DC 20016-2224
Phone (202) 966-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CN1300584DCMDFamily Nurse Practitioner
NP46450DCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1114263977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 FAIRVIEW PARK DR STE 50",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424583",
            "telephone_number": "703-538-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 FAIRVIEW PARK DR STE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424583",
            "telephone_number": "703-538-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Upton St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162224",
            "country_code": "US",
            "telephone_number": "202-966-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOPAK-MATHIS",
        "first_name": "TALI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "CN1300584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP46450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.