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Lisa Rose, RD, LDN
NPI 1205050473 · Registered Dietitian · Peoria, IL
Lisa Rose, RD, LDN is a Registered Dietitian provider in Peoria, IL (NPI 1205050473).
Provider details
- NPI number
- 1205050473
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
221 Ne Glen Oak Ave
Peoria, IL 61636-0002
Phone: (309) 672-4954
Fax: (309) 672-4953
Street-level locationGet directions
Mailing address
708 N Ashland Ave
West Peoria, IL 61604-4903
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lisa Rose's NPI number?
- Lisa Rose's National Provider Identifier (NPI) is 1205050473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Rose's specialty?
- Lisa Rose is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Rose located?
- Lisa Rose's practice location on file with NPPES is 221 Ne Glen Oak Ave, Peoria, IL 61636-0002.
- What is Lisa Rose's phone number?
- The practice phone number listed in the NPPES registry for Lisa Rose is (309) 672-4954.
- Is Lisa Rose's NPI active?
- Yes — Lisa Rose's NPI (1205050473) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.