Denise Canellos, MS, CNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

4000 Barranca Pkwy
Suite 250
Irvine, CA 92604-4710

Phone

(949) 681-8261

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1548613623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BARRANCA PKWY",
            "address_2": "SUITE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044710",
            "telephone_number": "949-681-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BARRANCA PKWY",
            "address_2": "SUITE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044710",
            "telephone_number": "949-681-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELLOS",
        "first_name": "DENISE",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Campos
• Nadia S Campos
• Peter D. Cancellier, D.D.S.
• Cancer Center Imaging Inc.
• Kristin Canedo
• Bianca Cannavo, MCD-CCC-SLP
• Julie Lynn Canning, RDH
• Russell Wayne Cannon, D.D.S.
• Tatiana Cannon
• Sena Cantas Orsdemir, MD

• Nutrition Education Nutritionist in Irvine, CA
• Providers in Irvine, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.