Active NPI
Farrah Nicole Daly, MD
- Neurology Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101241391
- Practice address
- 673 Potomac Station Dr NE
# 605
Leesburg, VA 20176-1819 - Phone
- (540) 924-3258
- Fax
- (856) 249-9592
- NPI assigned
- Mar 29, 2007
- Last updated
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101241391 | VA | Primary |
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | VA0101241391 | VA |
Addresses
Primary practice location
673 Potomac Station Dr NE
# 605
Leesburg, VA 20176-1819
Mailing address
673 Potomac Station Dr NE # 605
Leesburg, VA 20176-1819
Phone (540) 924-3258
Other practice location 1
7112 Braddock Rd
Annandale, VA 22003-6007
Phone (540) 924-3258
Other practice location 2
4800 Fillmore Ave
Alexandria, VA 22311-5070
Phone (540) 924-3258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Leesburg, VA 20176
Phone (540) 924-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0101241391 | VA | MD | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evenbeam Neuropalliative Care, LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Goodwin House Incorporated | Current | Accepting new patients | |
| Capital Palliative Care Consultants, LLC | Past | Accepting new patients |
Locations
3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108
673 Potomac Station Dr NE
Leesburg, VA 20176
Phone (540) 924-3258
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
- Annandale, VA
- NPI 1023688827
DC
-
dba Goodwin House Bailey's Crossroads
- Skilled Nursing Facility
- Falls Church, VA
- NPI 1639258676
DC
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Largo, MD
- NPI 1891011151
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Falls Church, VA
- NPI 1568485894
-
dba Goodwin House Palliative Care and Hospice
- Community Based Hospice Care Agency
- Falls Church, VA
- NPI 1588740617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1831219393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 POTOMAC STATION DR NE # 605",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761819",
"telephone_number": "540-924-3258",
"fax_number": "856-249-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 POTOMAC STATION DR NE",
"address_2": "# 605",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761819",
"telephone_number": "540-924-3258",
"fax_number": "856-249-9592"
}
],
"practiceLocations": [
{
"address_1": "7112 Braddock Rd",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220036007",
"country_code": "US",
"telephone_number": "540-924-3258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Fillmore Ave",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223115070",
"country_code": "US",
"telephone_number": "540-924-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALY",
"first_name": "FARRAH",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101241391",
"primary": true
},
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "VA",
"license": "VA0101241391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.