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Deactivated NPI 1124868864 Deactivated / Inactive NPI Female Practitioner

Celene Rachelle Woolley , MS, RD, LD

Dietitian, Registered • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Celene Woolley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2024
NPI Deactivation Date July 03, 2025
Total Practice Duration ~1 Years of Practice (2024 – 2025)

Professional Overview & Biography Verified Profile Summary

Celene Woolley, MS, RD, LD was a registered Dietitian, Registered practicing in Albuquerque, NM. Throughout an active medical career spanning 1 years, Celene Woolley provided care at the practice location at 4425 JUAN TABO BLVD NE STE 140 until profile deactivation on 2025-07-03.

Practice Location & Contact Primary Location

Practice Address

4425 Juan Tabo Blvd Ne Ste 140

Albuquerque, NM 871112694

Telephone 5053328070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
175 Specialists

Practicing in Albuquerque, NM (349 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NM LD2022012

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Sonya Paiz , RD, LD

Dietitian, Registered

NPI 1164548061

Registered Dietitian, Licensed Dietitian

Jennifer Pas , RD, LD

Dietitian, Registered

NPI 1356385751

Registered Dietitian, Licensed Dietitian

Catherine Mcqueen

Dietitian, Registered

NPI 1356717680
Kelly Hines , RD, LD

Dietitian, Registered

NPI 1457754079

Registered Dietitian, Licensed Dietitian

Charles Coe , RDLD

Dietitian, Registered

NPI 1477675312

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 03, 2025

Record deactivated on July 03, 2025

NPI Profile Active May 30, 2024

NPI status registered as active in NPPES database

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Updated Practice Location May 30, 2024

Registered at 4425 JUAN TABO BLVD NE STE 140, ALBUQUERQUE, NM 871112694 (Tel: 5053328070)

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Updated Business Mailing Address May 30, 2024

Registered at 6116 RED ROCK PARK NW, ALBUQUERQUE, NM 871142154 (Tel: 5054026516)

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Provider Name / Credentials Updated May 30, 2024

Recorded as CELENE WOOLLEY, MS, RD, LD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Dietitian, Registered (License #LD2022012 in NM)

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Initial NPI Registration & Enumeration May 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124868864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2024
Last Update: May 30, 2024
Deactivation Date: July 03, 2025

Mailing Address

6116 Red Rock Park Nw

Albuquerque, NM 871142154

Phone: 5054026516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.