Individual provider Active NPI

Jennifer Sippel, ATC

  • Athletic Trainer
  • Falls Church, VA
National Provider Identifier
1194188680
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126001309 Issued in VA
Practice address
2922 Telestar CT
Falls Church, VA 22042-1206
Phone
(703) 584-2040
Fax
(703) 553-8647
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 0126001309 VA Primary

Addresses

Primary practice location

2922 Telestar CT
Falls Church, VA 22042-1206

Mailing address

2922 Telestar CT
Falls Church, VA 22042-1206
Phone (703) 584-2040

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
0126001309VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1194188680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 TELESTAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421206",
            "telephone_number": "703-584-2040",
            "fax_number": "703-553-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 TELESTAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421206",
            "telephone_number": "703-584-2040",
            "fax_number": "703-553-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPEL",
        "first_name": "JENNIFER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001309",
            "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 Apr 1, 2016; 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.