Active NPI
Angela Duhaime, PA-C
- Physician Assistant
- Leesburg, VA
National Provider Identifier
1972833820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007402
- Practice address
- 211 Gibson Street, NW, Suite 215
Leesburg, VA 20176-2115 - Phone
- (571) 707-2085
- Fax
- (571) 291-9196
- NPI assigned
- Dec 28, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00231500 | NJ | |
| Physician Assistant | 363A00000X | 0110007402 | VA | Primary |
Addresses
Primary practice location
211 Gibson Street, NW, Suite 215
Leesburg, VA 20176-2115
Mailing address
224D Cornwall St NW
Leesburg, VA 20176-2713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972833820 | Medicaid | VA | |
| 30017504410001 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007402 | VA | MD | Physician Assistant |
| 25MP00231500 | NJ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1972833820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224D CORNWALL ST NW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 GIBSON STREET, NW, SUITE 215",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762115",
"telephone_number": "571-707-2085",
"fax_number": "571-291-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUHAIME",
"first_name": "ANGELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00231500",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972833820",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017504410001",
"state": "VA"
}
],
"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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.