Active NPI
Sel Rose LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1437018413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SEL ROSE LLC
- Practice address
- 3580 Indian Queen LN
Philadelphia, PA 19129-1540 - Phone
- (484) 754-6427
- NPI assigned
- Jan 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Norris, RD LDN
- Title
- Dietitian/Nutritionist
- Phone
- (484) 754-6427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Gerontological Nutrition Registered Dietitian | 133VN1101X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
3580 Indian Queen LN
Philadelphia, PA 19129-1540
Mailing address
PO Box 27738
Philadelphia, PA 19118-0738
Phone (484) 754-6427
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769904000000",
"number": "1437018413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27738",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191180738",
"telephone_number": "484-754-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 INDIAN QUEEN LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291540",
"telephone_number": "484-754-6427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEL ROSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-16",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIETITIAN/NUTRITIONIST",
"authorized_official_telephone_number": "484-754-6427",
"authorized_official_credential": "RD LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.