Individual provider Active NPI

Ximena Natalia Rodriguez Lujan, LAT, ATC

  • Athletic Trainer
  • Arlington, VA
National Provider Identifier
1003567868
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126003183 Issued in VA
Practice address
2955 S Glebe Rd Ste E
Arlington, VA 22206-2730
Phone
(703) 535-8887
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126003183 VA Primary

Addresses

Primary practice location

2955 S Glebe Rd Ste E
Arlington, VA 22206-2730

Mailing address

4501 Hazeltine CT Unit D
Alexandria, VA 22312-3202
Phone (202) 341-7239

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0126003183VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
DMV Iron Wellness LLC Current Accepting new patients
Nova Pain & Rehab Center, PLLC PastSince Jan 21, 2022 Accepting new patients
Northern Virginia Pain and Rehab Center, PC PastSince Jan 21, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1003567868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 HAZELTINE CT UNIT D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223123202",
            "telephone_number": "202-341-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 S GLEBE RD STE E",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062730",
            "telephone_number": "703-535-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LUJAN",
        "first_name": "XIMENA",
        "middle_name": "NATALIA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.