Healthcare Provider Details

I. General information

NPI: 1336537968
Provider Name (Legal Business Name): MONIQUE CHIANELLI MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7015 HIGHWAY 190 EAST SERVICE RD SUITE 200
COVINGTON LA
70433-4960
US

IV. Provider business mailing address

1630 11TH ST
SLIDELL LA
70458-2916
US

V. Phone/Fax

Practice location:
  • Phone: 985-234-3000
  • Fax:
Mailing address:
  • Phone: 985-956-0691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1280
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: