Sarah Nicole Hendrix, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Ferrum, VA
NPI 1669994059 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1669994059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126003340 (VA)
- Practice address
- 590 Ferrum Mountain Rd.
Ferrum, VA 24088-2408 - Phone
- (336) 453-8338
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003340 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 0126003340 | VA | Yes |
Addresses
Primary practice location
590 Ferrum Mountain Rd.
Ferrum, VA 24088-2408
Mailing address
426 Yank Rd
Summerfield, NC 27358-8264
Other practice location 1
402 E College St
Bridgewater, VA 22812-1511
Phone (540) 828-5763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669994059 | Other | VA | ATHLETIC TRAINER |
Other providers in Ferrum, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.