DR. JACK C. TIPS PH.D. C.C.N. NPI 1104948041

NPI Information

NPI: 1104948041
Provider Name: DR. JACK C. TIPS, PH.D., C.C.N.
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
9419 WESTMINSTER GLEN
AUSTIN, TX
ZIP 78730
Phone: (512) 328-3996
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DR. Jack C. Tips, PH.D., C.C.N. is a nutrition and education nutritionist in Austin, TX. DR. Jack C. Tips, PH.D., C.C.N. NPI is 1104948041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9419 WESTMINSTER GLEN
AUSTIN, TX
ZIP 78730
Phone: (512) 328-3996
Fax: (512) 263-7787

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	136A00000X	Dietetic Technician, Registered		0017161	NEW YORK	No
2	133NN1002X	Nutritionist	Nutrition, Education	0017161	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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