Individual provider Active NPI

Lynda Charlene Miller, DNP,FNP-C,PMHNP-BC

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1104177997
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170388 Issued in VA
Practice address
878 Fox Dr
Winchester, VA 22603-8613
Phone
(540) 546-2624
Fax
(540) 696-5421
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024170388 VA
Family Nurse Practitioner 363LF0000X 0024170388 VA Primary

Addresses

Primary practice location

878 Fox Dr
Winchester, VA 22603-8613

Mailing address

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 546-2624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000250 VA Practitioner - Nurse Practitioner 5597905943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Hands Integrated Wellness and Primary CareGroup PAC ID 3072993468, 8 clinicians

Practice addresses (Care Compare)

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 546-2624

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024170388VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Integrated Wellness & Primary Care Family CurrentSince Feb 22, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

Interoperability endpoints

  • Direct secure messaging: lynda.miller.2@28421.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28421/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1104177997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-546-2624",
            "fax_number": "540-696-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-546-2624",
            "fax_number": "540-696-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNDA",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "DNP,FNP-C,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.