NPIMap

Individual provider Active NPI

Katlin Rae Lindsey, PA-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1730558404
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1930 Issued in WV
Practice address
1 Kenton Dr Ste 100
Charleston, WV 25311-1256
Phone
(304) 306-8990
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1930 WV Primary

Addresses

Primary practice location

1 Kenton Dr Ste 100
Charleston, WV 25311-1256

Mailing address

1 Kenton Dr Ste 100
Charleston, WV 25311-1256
Phone (304) 306-8990

Other practice location 1

100 Tracy Way
Charleston, WV 25311-1257
Phone (304) 343-4583

Other names 1

  • Katlin Rae Pritt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217001018 WV Practitioner - Physician Assistant 0941501886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Foot and Ankle, PLLCGroup PAC ID 0042671661, 3 clinicians

Practice addresses (Care Compare)

1 Kenton Dr
Suite 100
Charleston, WV 25311-1256
Phone (304) 306-8990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1930WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Foot & Ankle, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1 Kenton Dr
#100
Charleston, WV 25311
Phone (304) 306-8990

100 Tracy Way
Charleston, WV 25311
Phone (304) 343-4583

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1730558404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENTON DR STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111256",
            "telephone_number": "304-306-8990",
            "fax_number": "877-471-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENTON DR STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111256",
            "telephone_number": "304-306-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tracy Way",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111257",
            "country_code": "US",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "KATLIN",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLIN",
            "last_name": "PRITT",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.