Individual provider Active NPI

Tiffany Ann Pastors Mendoza, FNP

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1881587053
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024193314 Issued in VA
Practice address
8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636
Phone
(703) 698-4475
NPI assigned
May 29, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024193314 VA Primary

Addresses

Primary practice location

8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636

Mailing address

47322 Rock Falls Ter
Sterling, VA 20165-2432
Phone (321) 663-7881

Other practice location 1

8260 Willow Oaks Corporate Dr Ste 750
Fairfax, VA 22031-4523
Phone (703) 698-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250721001710 DC Practitioner - Nurse Practitioner 7911413638 Reassigns benefits to 1 organization
I20251028001717 VA Practitioner - Nurse Practitioner 7911413638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants CurrentSince Jun 1, 2025 Accepting new patients
Ifrc, LLC Past Accepting new patients

Locations

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-4300

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9321 Sanger St
Lorton, VA 22079
Phone (703) 982-8324

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1881587053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47322 ROCK FALLS TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201652432",
            "telephone_number": "321-663-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314636",
            "telephone_number": "703-698-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 Willow Oaks Corporate Dr Ste 750",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314523",
            "country_code": "US",
            "telephone_number": "703-698-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "TIFFANY",
        "middle_name": "ANN PASTORS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024193314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.