Provider Demographics
NPI:1821608175
Name:NEBIE, CHAUNTELLE GISELE (RDN)
Entity type:Individual
Prefix:MS
First Name:CHAUNTELLE
Middle Name:GISELE
Last Name:NEBIE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 STRAUSBERG ST
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-2845
Mailing Address - Country:US
Mailing Address - Phone:347-420-9412
Mailing Address - Fax:
Practice Address - Street 1:914 STRAUSBERG ST
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-2845
Practice Address - Country:US
Practice Address - Phone:347-420-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-02
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5008133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered