Individual provider Active NPI

Farrah Nicole Daly, MD

  • Neurology Physician
  • Leesburg, VA
National Provider Identifier
1831219393
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101241391 Issued in VA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071105000266 DC Practitioner - NeurologyPractitioner - Hospice/Palliative Care 9931296100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Hospice/Palliative Care
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

LicenseStateTypeSpecialty
VA0101241391VAMDHospice and Palliative Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evenbeam Neuropalliative Care, LLC Hospice and Palliative Medicine CurrentSince Jun 15, 2021 Accepting new patients
Goodwin House Incorporated CurrentSince Sep 1, 2016 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.

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": "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

Verify at the official NPI Registry.