Ileana Tellechea, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND1787 Issued in FL

Practice address

321 SW 136TH Ave
Miami, FL 33184-1021

Phone

(305) 226-1145

NPI assigned

Dec 23, 2005

Last updated

Jun 24, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1881671584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841021",
            "telephone_number": "305-226-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841021",
            "telephone_number": "305-226-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLECHEA",
        "first_name": "ILEANA",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETETIC REGISTRATION ADA",
            "identifier": "R591336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred F Telischi, MD
• Armande Telisma
• Javier Tella, COTA/L
• Flabio Tellado, RBT
• Carlos Tellechea, MD
• Laura Elena Tellechea, SLP
• Paul Tellechea, LMHC
• Juan R Telleria I, M.D.
• Miguel Angel Telleria, M.D., M.B.A.
• Carlos Tellez Fouz

• Registered Dietitian in Miami, FL
• Providers in Miami, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.