Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Celine Siddall, RD

Individual provider Registered Dietitian · NPI 1538614862

Celine Siddall, RD is a 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
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
Mailing address1717 W Cowles St, Fairbanks, AK 99701-5926

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

Other providers in Fairbanks