Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Eichenbaum

Individual provider Registered Dietitian · NPI 1013805597

Ellen Eichenbaum is a Registered Dietitian in Austin, Texas. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone: (512) 693-7045
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN009112 (PA)

Record details

NPI number1013805597
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJune 25, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address3724 Jefferson St Ste 104, Austin, TX 78731-6204

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