KATELYN EISENDRATH DO, MS
NPI 1922640887
Student in an Organized Health Care Education/Training Program in Abingdon, VA
About Katelyn Eisendrath Do, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN EISENDRATH DO, MS (NPI 1922640887) is an individual student in an organized health care education/training program in Abingdon, Virginia and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Eisendrath Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ABINGDON, VA 24211
ABINGDON, VA 24211
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Eisendrath's NPI number?
The NPI number for Katelyn Eisendrath is 1922640887. It was assigned to this individual provider in the NPPES registry on October 11, 2019.
Where is Katelyn Eisendrath located?
Katelyn Eisendrath practices at 16000 Johnston Memorial Dr, Abingdon, VA 24211. The listed phone number is (276) 258-1000.
What is Katelyn Eisendrath's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katelyn Eisendrath enrolled in Medicare?
Yes. Katelyn Eisendrath is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katelyn Eisendrath was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Eisendrath, DO, MS · NPI 1922640887
Student in an Organized Health Care Education/Training Program provider in Abingdon, Virginia. Individual provider, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1922640887 (Entity type: Individual)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211-7664
- **Phone:** (276) 258-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922640887) · Data from the CMS NPPES public registry.