Individual provider Active NPI

Cecelia Renard, RD, LD

  • Registered Dietitian
  • Chesterfield, VA
National Provider Identifier
1215819115
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT90885 Issued in TX
Practice address
9401 Courthouse Rd
Chesterfield, VA 23832-6690
Phone
(931) 551-6511
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT90885 TX Primary

Addresses

Primary practice location

9401 Courthouse Rd
Chesterfield, VA 23832-6690

Mailing address

3954 Drinkwater St
Fort Irwin, CA 92310-1507
Phone (931) 551-6511

Other practice location 1

7181 Remagen St
Fort Cavazos, TX 76544-1785
Phone (931) 551-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT90885TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ellad Nutrition Consulting, LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1215819115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 DRINKWATER ST",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101507",
            "telephone_number": "931-551-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326690",
            "telephone_number": "931-551-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7181 Remagen St",
            "address_purpose": "LOCATION",
            "city": "Fort Cavazos",
            "state": "TX",
            "postal_code": "765441785",
            "country_code": "US",
            "telephone_number": "931-551-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENARD",
        "first_name": "CECELIA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.