CMS-1500 Box 24J / 33a • NPI
1669994059
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2255A2300X
Licensed & Credentialed Specialist/Technologist, Athletic Trainer
Box 32 Service Location & ZIP+4
590 FERRUM MOUNTAIN RD., FERRUM, VA, 24088-2408
✓ 9-Digit EDI 837 ZIP+4 (24088-2408)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669994059 (SARAH NICOLE HENDRIX, MS, LAT, ATC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669994059 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SARAH NICOLE HENDRIX, MS, LAT, ATC |
| Plain-English Specialty | Licensed & Credentialed Specialist/Technologist, Athletic Trainer NUCC Code: 2255A2300X (Specialist/Technologist, Athletic Trainer) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 590 FERRUM MOUNTAIN RD., FERRUM, VA, 24088-2408 |
| Practice Telephone / Fax | Tel: (336) 453-8338 |
| Administrative Mailing Address | 426 YANK RD, SUMMERFIELD, NC, 27358-8264 |
| Enumeration & Last Sync | Enumerated: 2017-07-07 | CMS Record Updated: 2020-02-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2255A2300X)
What Does Taxonomy Code 2255A2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2255A2300X translates to:
"Licensed & Credentialed Specialist/Technologist, Athletic Trainer"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SARAH NICOLE HENDRIX, MS, LAT, ATC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: N/A | License: Verified | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: VA | License: 0126003340 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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