Active NPI
Christopher Trevlyn Nathaniel, ATC
- Athletic Trainer
- Falls Church, VA
National Provider Identifier
1023323102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126001291
- Practice address
- 2841 Hartland Rd
Suite 401
Falls Church, VA 22043-3500 - Phone
- (703) 641-5800
- NPI assigned
- Aug 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126001291 | VA | Primary |
Addresses
Primary practice location
2841 Hartland Rd
Suite 401
Falls Church, VA 22043-3500
Mailing address
8381 Scotland Loop
Manassas, VA 20109
Phone (703) 209-4847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001291 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1023323102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8381 SCOTLAND LOOP",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20109",
"telephone_number": "703-209-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 HARTLAND RD",
"address_2": "SUITE 401",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433500",
"telephone_number": "703-641-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANIEL",
"first_name": "CHRISTOPHER",
"middle_name": "TREVLYN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.