Active NPI
Linda Edwards Himler, AUD, CCC-A, FAAA/ABA
- Audiologist
- Potomac Falls, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000365
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q37135A827 | Other | VA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2201000365 | VA | MD | Audiologist |
| 2101000599 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | 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
- 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.
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-
- Family Medicine Physician
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- NPI 1215307400
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
- Amanda J Gibbons, M.A., CAGS, NCSP
- Gita Goradia
- Faisal Hasan, FAISAL HASAN
- Hawa Management Group LLC
- Eunju Yang Hernandez, CRNP-FAMILY
- Ifeoma Elizabeth Ilodianya, NP
- Internal Medicine Practice Associates PC
- William Richard Jackomis, D.D.S., J.D.
- Kelly Renee Jacobs- Belodeau
- Karma Home Health Care LLC
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.