NPI 1073279261 · live from the CMS NPI Registry
Tanisha Sousa Amaral, RD, LDN
Dietitian, Registered in Providence, RI. National Provider Identifier 1073279261, active.
NPI record
| NPI | 1073279261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 245 Chapman St Ste 300, Providence, RI 02905 |
| Practice phone | 401-444-7152 |
| Mailing address | 117 Ellenfield St, Providence, RI 02905 |
| Enumerated | November 11, 2021 |
| Last updated | November 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN01134 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.