Individual provider Active NPI

Linda Edwards Himler, AUD, CCC-A, FAAA/ABA

  • Audiologist
  • Potomac Falls, VA
National Provider Identifier
1174731376
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000365 Issued in VA
Practice address
46045 Palisade Pkwy Ste 200
Potomac Falls, VA 20165-8762
Phone
(703) 723-9672
Fax
(703) 724-0127
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2101000599 VA
Audiologist 231H00000X 2201000365 VA Primary

Addresses

Primary practice location

46045 Palisade Pkwy Ste 200
Potomac Falls, VA 20165-8762

Mailing address

1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone (703) 942-8110

Other practice location 1

1320 Old Chain Bridge Rd Ste 185
Mc Lean, VA 22101-3945
Phone (703) 842-8110

Other identifiers 1

IdentifierTypeStateIssuer
Q37135A827OtherVAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000712 VA Practitioner - Qualified Audiologist 4284794942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201000365VAMDAudiologist
2101000599VAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 5, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 5, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

19455 Deerfield Ave
Ste 301
Leesburg, VA 20176
Phone (703) 858-4439

19415 Deerfield Ave
Ste 301B
Leesburg, VA 20176
Phone (703) 723-9672

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1174731376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013945",
            "telephone_number": "703-942-8110",
            "fax_number": "703-942-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46045 PALISADE PKWY STE 200",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201658762",
            "telephone_number": "703-723-9672",
            "fax_number": "703-724-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Old Chain Bridge Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013945",
            "country_code": "US",
            "telephone_number": "703-842-8110",
            "fax_number": "703-942-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMLER",
        "first_name": "LINDA",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A, FAAA/ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101000599",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q37135A827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.