Tanisha Sousa Amaral, RD, LDN
Individual provider Active NPI Registered Dietitian · Providence, RI
NPI 1073279261 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1073279261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN01134 (RI)
- Practice address
- 245 Chapman St Ste 300
Providence, RI 02905-4539 - Phone
- (401) 444-7152
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN01134 | RI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN01134 | RI | Yes |
Addresses
Primary practice location
245 Chapman St Ste 300
Providence, RI 02905-4539
Mailing address
117 Ellenfield St
Providence, RI 02905-4541
Phone (401) 444-5640
Other providers in Providence, RI
- Jessica Mariana Amaral
- Joseph F. Amaral
- Kerri Rene Amaral
- Natasha Amaral
- Rebecca Amaral
- Franni Amaro
- Agustina Amaya
- Lauren Marie Ameden
- Jonathan Ameli
- Afshin Ameri
All providers in Providence, RI · Registered Dietitian in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.