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

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