Celine Mukeyina Thompson, MS, RD, LN
Individual provider Active NPI Nutritionist · Toronto, SD
NPI 1376012146 · NPPES record last updated Nov 21, 2018
Key facts
- NPI
- 1376012146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- 0533 (SD)
- Practice address
- 650 Oahe Ave
Toronto, SD 57268-0511 - Phone
- (605) 496-8068
- NPI assigned
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0533 | SD | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fueling Fertility LLC | Current |
Accepting new patients | |
| Fay Nutrition | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 0533 | SD | Yes |
Addresses
Primary practice location
650 Oahe Ave
Toronto, SD 57268-0511
Mailing address
PO Box 511
Toronto, SD 57268-0511
Phone (605) 496-8068
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0533 | Other | SD | NUTRITIONIST LICENSE |
Other names
- Mrs. Celine Mukeyina Thompson
Other providers in Toronto, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2018. 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.