Individual provider Active NPI

Noelle Marie Citarella, RDN, CDN

  • Metabolic Nutrition Registered Dietitian
  • Grand Island, NY
National Provider Identifier
1740780733
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
009292 Issued in NY
Practice address
1990 Whitehaven Rd
Grand Island, NY 14072-1846
Phone
(716) 704-0684
NPI assigned
Feb 15, 2018
Last updated
Feb 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009292 NY
Metabolic Nutrition Registered Dietitian 133VN1006X 009292 NY Primary

Addresses

Primary practice location

1990 Whitehaven Rd
Grand Island, NY 14072-1846

Mailing address

PO Box 831
Grand Island, NY 14072-0831
Phone (716) 704-0684

Other practice location 1

3980 Sheridan Dr
Ste 401
Amherst, NY 14226-1727
Phone (716) 704-0684 ext. 2

Other names 1

  • Miss Noelle Marie Desantis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2026 through Feb 20, 2028

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
State University of New York at Buffalo School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 John James Audubon Pkwy
Suite 360
Amherst, NY 14228-1132

501 John James Audubon Pkwy
Suite 360
Amherst, NY 14228-1143

573 Auburn Ave
Apt 2
Buffalo, NY 14222-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009292NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Nutrition & Dietetics, PLLC Dietitian, Registered CurrentSince Jun 24, 2019 Accepting new patients
United Nutrition & Dietetics, PLLC Dietitian, Registered CurrentSince Feb 9, 2025 Accepting new patients

Locations

1207 Delaware Ave
Ste 112
Buffalo, NY 14209

1207 Delaware Ave
Ste 114
Buffalo, NY 14209
Phone 7167040684 ext. 2

3980 Sheridan Dr
Ste 401
Buffalo, NY 14226
Phone (716) 636-2222

501 John James Audubon Pkwy
Ste 360
Buffalo, NY 14228

1990 Whitehaven Rd
Grand Island, NY 14072
Phone (716) 453-1423

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1740780733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140720831",
            "telephone_number": "716-704-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721846",
            "telephone_number": "716-704-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 SHERIDAN DR",
            "address_2": "STE 401",
            "address_purpose": "LOCATION",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "country_code": "US",
            "telephone_number": "716-704-0684 x2",
            "fax_number": "716-625-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CITARELLA",
        "first_name": "NOELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009292",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "009292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "DESANTIS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RDN, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NY

Sources for this page

Verify at the official NPI Registry.