Individual provider Active NPI

Celestia Reimers, MDA, RDN, CSO

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1811434962
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7661559-4901 Issued in UT
Practice address
3354 S Georgetown SQ
Salt Lake City, UT 84109-2621
Phone
(801) 809-4985
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 7661559-4901 UT Primary

Addresses

Primary practice location

3354 S Georgetown SQ
Salt Lake City, UT 84109-2621

Mailing address

3354 S Georgetown SQ
Salt Lake City, UT 84109-2621
Phone (801) 809-4985

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
Credentials
Medical Assistant

State licenses

LicenseStateTypeSpecialty
7661559-4901UTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1811434962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 S GEORGETOWN SQ",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092621",
            "telephone_number": "801-809-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 S GEORGETOWN SQ",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092621",
            "telephone_number": "801-809-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMERS",
        "first_name": "CELESTIA",
        "name_prefix": "Ms.",
        "credential": "MDA, RDN, CSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "7661559-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.