Paula K Celani, RD, LDN
Individual provider Active NPI Registered Dietitian · Blue Island, IL
NPI 1144597360 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1144597360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164.002279 (IL)
- Practice address
- 12935 Gregory St
Blue Island, IL 60406-2428 - Phone
- (708) 824-4659
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164L002279 | IL | MD | Nutritionist |
| 164.002279 | IL | MD | Renal Nutrition Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164L002279 | IL | |
| Nutrition Education Nutritionist | 133NN1002X | 164.002279 | IL | |
| Registered Dietitian | 133V00000X | 164.002279 | IL | Yes |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 164.002279 | IL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 164.002279 | IL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 164.002279 | IL |
Addresses
Primary practice location
12935 Gregory St
Blue Island, IL 60406-2428
Mailing address
14417 S 90TH CT
Orland Park, IL 60462-6213
Phone (708) 873-0103
Other providers in Blue Island, IL
- Loretta Carpenter
- Natalie Renee Casey
- Julliana Castaneda
- Jonathan Cavanaugh
- Cynthia Cazares
- Alfredo Cervantes
- Kanti Chaudhari
- Jaime Chavez
- Shilpa Cheela
- Bai Fan Chen
All providers in Blue Island, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.