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KENDALL NICOLE MIKKELSEN MS, LAT, ATC
NPI 1992401640
Specialist/Technologist - Athletic Trainer in Ashburn, VA

Active since February 03, 2023
19790 ASHBURN RD, ASHBURN, VA 20147(571) 209-5500 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Feb 3, 2023 (2 updates tracked since 2023).

About Kendall Nicole Mikkelsen Ms, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL NICOLE MIKKELSEN MS, LAT, ATC (NPI 1992401640) is an individual athletic trainer provider in Ashburn, Virginia and active in the NPI registry since February 2023. She maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1992401640
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKENDALL NICOLE MIKKELSENCredential: MS, LAT, ATC
Location Address19790 ASHBURN RDAshburn, VA 20147-5636
Mailing Address11795 Antietam RdWoodbridge, VA 22192-1214 · (210) 422-6811
Phone(571) 209-5500
Sole ProprietorNo
Enumeration DateFebruary 3, 2023
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1992401640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19790 ASHBURN RD, Ashburn, VA 20147
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Secondary Practice Location 1

Location 14400 University DrFairfax, VA 22030-4422 · Phone (703) 993-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Mikkelsen's NPI number?

The NPI number for Kendall Mikkelsen is 1992401640. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Kendall Mikkelsen located?

Kendall Mikkelsen practices at 19790 Ashburn Rd, Ashburn, VA 20147. The listed phone number is (571) 209-5500.

What is Kendall Mikkelsen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kendall Mikkelsen was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.