Ms Lisa Ann Rose, RD, LDN - Dietitian in Peoria, IL

Ms Lisa Ann Rose, RD, LDN is a Dietitian, Registered based in Peoria, Illinois. Ms Lisa Ann Rose is licensed to practice in Illinois (license number ) and her current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 672-4954.

NPI number for Ms Lisa Ann Rose is 1205050473 and her current mailing address is 708 N Ashland Ave, West Peoria, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205050473.

Contact Information

Ms Lisa Ann Rose, RD, LDN
221 Ne Glen Oak Ave,
Peoria, IL 61636-0002
(309) 672-4954
(309) 672-4953

Map and Direction




Healthcare Provider's Profile

Full NameMs Lisa Ann Rose
GenderFemale
SpecialityDietitian, Registered
Location221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205050473
  • Provider Enumeration Date: 04/12/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Lisa Ann Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205050473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Ann Rose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lisa Ann Rose, RD, LDN
708 N Ashland Ave,
West Peoria, IL 61604-4903

Ph: (309) 637-6593
Ms Lisa Ann Rose, RD, LDN
221 Ne Glen Oak Ave,
Peoria, IL 61636-0002

Ph: (309) 672-4954

Reviews and Comments


Dietitian, Registered in Peoria, IL

Mrs. Crystal Ann Casper, RD, LDN
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Phone: 309-589-1001    
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Medicare: Not Enrolled in Medicare
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Phone: 309-691-1056    Fax: 309-689-6010
Karen Ann Hutton, RD, LDN, MA
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-4957    Fax: 309-672-4953
Mrs. Allyson Cole, RD, LDN
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Medicare: Not Enrolled in Medicare
Practice Location: 3341 W Pilgrims Way, Peoria, IL 61615
Phone: 815-685-1563    
Ashley Simper, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2054    Fax: 309-655-4022
Norma A. Wiser, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-683-5865    Fax: 309-655-7869

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.