Active NPI
Ellen Fitzenrider, DC
- Chiropractor
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555721
- Practice address
- 3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868 - Phone
- (703) 963-4257
- NPI assigned
- May 16, 2006
- Last updated
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555721 | VA | Primary |
| Chiropractor | 111N00000X | 104555721 | VA |
Addresses
Primary practice location
3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868
Mailing address
3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868
Phone (703) 963-4257
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Arlington | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
923 N Kenmore St
Arlington, VA 22201-2226
Phone (703) 963-4257
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104555721 | VA | MD | Chiropractor |
| 104555721 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shift With Dr. Ellen | Chiropractor | Current | Accepting new patients |
| Dynamic Health Solutions | Chiropractor | Past | Accepting new patients |
Locations
3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972
923 N Kenmore St
Arlington, VA 22201
Phone (703) 963-4257
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1457303612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 WILSON BLVD STE 700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222013868",
"telephone_number": "703-963-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 WILSON BLVD STE 700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222013868",
"telephone_number": "703-963-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZENRIDER",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555721",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "104555721",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Arlington",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3033 Wilson Blvd Ste 700",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222013868",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.