# TISA NEEMA ROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588325195
- **Gender:** F
- **Credential:** RDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133V00000X | Registered Dietitian | 164005386 | IL | Yes |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 01/05/2022