Individual provider Active NPI

Eleana Callejas, RD LDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Marrero, LA
National Provider Identifier
1669290664
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
3439 Issued in LA
Practice address
1111 Medical Center Blvd
Marrero, LA 70072-3151
Phone
(504) 349-1402
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 3439 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Marrero, LA 70072-3151

Mailing address

2126 Saint Mary St
Thibodaux, LA 70301-5849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029001694 LA Practitioner - Registered Dietitian Or Nutrition Professional 3274066311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center Management CorporationGroup PAC ID 7012150311, 91 clinicians

Practice addresses (Care Compare)

1111 Medical Ctr Blvd
Suite S860
Marrero, LA 70072-3136
Phone (504) 349-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3439LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation CurrentSince Sep 1, 2024 Accepting new patients
University Medical Center Management Corporation CurrentSince Sep 1, 2024 Accepting new patients

Locations

1111 Medical Center Blvd
Ste S860
Marrero, LA 70072
Phone (504) 349-6860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 4

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1669290664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJAS",
        "first_name": "ELEANA",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "LA",
            "license": "3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.