Individual provider Active NPI

Katherine Elizabeth Von Eisenburg, WHNP- BC

  • Women's Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1679299762
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024192027 Issued in VA
Practice address
9601 Blackwell Rd Ste 220
Rockville, MD 20850-6491
Phone
(301) 318-8229
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1051322 DC
Women's Health Nurse Practitioner 363LW0102X 0024192027 VA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024192027 VA

Addresses

Primary practice location

9601 Blackwell Rd Ste 220
Rockville, MD 20850-6491

Mailing address

5801 Postal Rd Unit 81310
Cleveland, OH 44181-2112
Phone (301) 340-8339

Other practice location 1

3025 Hamaker Ct Ste 330
Fairfax, VA 22031-2243
Phone (301) 318-8229

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Katherine Elizabeth Bissell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220001918 DC Practitioner - Nurse Practitioner 7113454745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1051322DCMDRegistered Nurse
0024192027VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 16, 2024 Accepting new patients
Capital Women'S Care, L.L.C. CurrentSince Nov 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 16, 2024 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9601 Blackwell Rd
Ste 220
Rockville, MD 20850
Phone (301) 279-6060

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3025 Hamaker Ct
Ste 330
Fairfax, VA 22031
Phone (571) 282-3923

Interoperability endpoints

  • Direct secure messaging: katherine.bissell.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1679299762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 POSTAL RD UNIT 81310",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441812112",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506491",
            "telephone_number": "301-318-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Hamaker Ct Ste 330",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312243",
            "country_code": "US",
            "telephone_number": "301-318-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VON EISENBURG",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "WHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "1051322",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024192027",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024192027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BISSELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.