Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Celine Siddall, RD

Individual provider Registered Dietitian · NPI 1538614862

Celine Siddall, RD is registered under Registered Dietitian OR Nutrition Professional in Fairbanks, Alaska. Qualified in 2015, 11 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
11
Licensed in
AK
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1717 W Cowles St
Fairbanks, AK 99701-5926 Not confirmed with CMS for 10 years — call before visiting
Phone: (907) 451-6682
Fax: (907) 459-3811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 114458 (AK)

Record details

NPI number1538614862
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Tanana Chiefs Conference

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 149 clinicians in the practice; 12 are shown here.

Other providers in Fairbanks