NPIMap

Individual provider Active NPI

Lynda Goldberg Levine, DO

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1487820817
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0072423 Issued in MD
Practice address
1225 Martha Custis Dr Ste C7
Alexandria, VA 22302-2040
Phone
(240) 813-8326
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102205894 VA
Family Medicine Physician 207Q00000X C7-0003993 DE
Family Medicine Physician 207Q00000X H0072423 MD Primary

Addresses

Primary practice location

1225 Martha Custis Dr Ste C7
Alexandria, VA 22302-2040

Mailing address

14322 Night Hawk Way
Gaithersburg, MD 20878-4334
Phone (301) 642-3609

Other practice location 1

850 Chisolm Ave
Fort George G Meade, MD 20755-7063
Phone (410) 874-6366

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C7-0003993DEMDFamily Medicine Physician
0102205894VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1487820817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14322 NIGHT HAWK WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784334",
            "telephone_number": "301-642-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MARTHA CUSTIS DR STE C7",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022040",
            "telephone_number": "240-813-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Chisolm Ave",
            "address_purpose": "LOCATION",
            "city": "Fort George G Meade",
            "state": "MD",
            "postal_code": "207557063",
            "country_code": "US",
            "telephone_number": "410-874-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LYNDA",
        "middle_name": "GOLDBERG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205894",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C7-0003993",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0072423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.