ANDREW PIERRE GAUDET DE LESTARD
NPI 1851238422
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Q: What is Andrew Gaudet De Lestard's NPI number?

The NPI number for Andrew Gaudet De Lestard is 1851238422. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Q: What is Andrew Gaudet De Lestard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 01, 2026PECOS Enrolled

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600(423) 245-9634 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrew Pierre Gaudet De Lestard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW PIERRE GAUDET DE LESTARD (NPI 1851238422) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851238422

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW PIERRE GAUDET DE LESTARD

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600 · Fax (423) 245-9634

Phone(423) 245-9600

Fax(423) 245-9634

Sole ProprietorNo

Enumeration DateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1851238422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

102 E RAVINE RD, Kingsport, TN 37660

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Pierre Gaudet De Lestard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRAHAM LESNIEWSKI MD

Student in an Organized Health Care Education/Training Program