Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992401640 Individual Practitioner Female Practitioner

Kendall Nicole Mikkelsen , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer • Ashburn, VA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kendall Mikkelsen, MS, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Ashburn, VA. Official NPI practice address is registered at 19790 ASHBURN RD.

Practice Location & Contact Primary Location

Practice Address

19790 Ashburn Rd

Ashburn, VA 201475636

Telephone 5712095500

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Ashburn, VA (1463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-18
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

4400 University Dr

Fairfax, VA 220304422

Phone: 7039931000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 18, 2023

Registered at 19790 ASHBURN RD, ASHBURN, VA 201475636 (Tel: 5712095500)

👤
Provider Name / Credentials Updated August 18, 2023

Recorded as KENDALL MIKKELSEN, MS, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2023

Student in an Organized Health Care Education/Training Program

NPI Profile Active February 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2023

Registered at 4400 UNIVERSITY DR, FAIRFAX, VA 220304422 (Tel: 7039931000)

📍
Updated Business Mailing Address February 03, 2023

Registered at 11795 ANTIETAM RD, WOODBRIDGE, VA 221921214 (Tel: 2104226811)

👤
Provider Name / Credentials Updated February 03, 2023

Recorded as KENDALL MIKKELSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2023

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration February 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992401640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2023
Last Update: August 18, 2023
Sole Proprietor: No

Mailing Address

11795 Antietam Rd

Woodbridge, VA 221921214

Phone: 2104226811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.