DR. JACK C. TIPS (NPI# 1104948041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104948041 |
| Entity Type | Individual |
| Full Name | DR. JACK C. TIPS |
| Credential | PH.D., C.C.N. |
| Practice Address |
9419 Westminster Glen Austin TX 78730 |
| Mailing Address |
9419 Prince William Austin TX 78730 |
| Practice Telephone | 5123283996 |
| Practice Fax Number | 5122637787 |
| Mailing Telephone | 5123283996 |
| Mailing Fax Number | 5122637787 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
0017161 | NY | Dietary & Nutritional Service Providers |
| N | 136A00000X | Dietetic Technician, Registered | 0017161 | NY | Dietary & Nutritional Service Providers |
| Street Address |
9419 WESTMINSTER GLEN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295374 | Amaris Nicole Garza | Dietitian, Registered | 10301 Ranch To Market 2222, Apt #738, Austin, TX 78730 | 2019-10-02 |
| 1366093130 | Kotobi & Associates, LLC | In Home Supportive Care | 6101 W Courtyard Drive, Bldg 1, Suite 150, Austin, TX 78730 | 2019-09-24 |
| 1831653955 | Esther Wooten | Nurse Practitioner | 6500 River Place, Suite 102, Austin, TX 78730 | 2019-01-23 |
| 1629336243 | Yuri Alexander Lawrence | Internal Medicine | 7300 Ranch Road 2222, Austin, TX 78730 | 2012-05-02 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1437397106 | Collins Endodontics, PC | Dentist | 7300 Fm 2222, Building V, Suite 212, Austin, TX 78730 | 2009-02-03 |
| 1043471360 | Nadia Abboud Bening | Psychiatry & Neurology | 6611 Riverplace Blvd., Austin, TX 78730 | 2008-06-19 |
| 1740469089 | Healthy Achievers, Inc. | Nursing Care | 6300 Bridgepoint Parkway, Building 3, Suite 500, Austin, TX 78730 | 2007-11-02 |
| 1407970841 | Us Radiology Partners of Texas Inc | Radiology | 3704 Lagood St, Austin, TX 78730 | 2007-03-19 |
| 1417017807 | Lynley A Shook | Dentist | 10601 Fm 2222, Suite S, Austin, TX 78730 | 2006-12-08 |
| Find all providers in zip 78730 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
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|---|---|---|---|---|
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| 1518412535 | Linda Marie Dibella | Nutritionist | 4330 Bull Creek Rd, 2322, Austin, TX 78731-5903 | 2016-08-19 |
| 1023435005 | Tiffany Truehill-devoil | Nutritionist | 2115 Kramer Ln, Austin, TX 78758-4013 | 2014-03-27 |
| 1366069338 | Mindful Fork Nutrition LLC | Nutritionist | 4301 Burnet Rd Ste A, Austin, TX 78756-3317 | 2020-06-25 |
| 1215461223 | Aprenda LLC | Nutritionist | 2324 E Cesar Chavez St, Austin, TX 78702-4604 | 2017-04-17 |
| 1205238318 | Carly Pollack | Nutritionist | 1210 Rosewood Ave, Austin, TX 78702-2023 | 2014-09-19 |
| 1639334691 | Jacquelyn Diane Raleigh | Nutritionist | 6500 N Mopac, Bldg IIi, Ste 220, Austin, TX 78731 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588686 | Jonathan S Shane | Nutritionist | 3038 Village Creek Dr, Katy, TX 77494-6950 | 2020-11-05 |
| 1538776638 | Sara Ross | Nutritionist | 4601 Hain St, Houston, TX 77009-3323 | 2020-09-23 |
| 1427675818 | Complete Nutrition Solutions LLC | Nutritionist | 2806 Santa Olivia St, Mission, TX 78572-7615 | 2020-07-01 |
| 1093332801 | Hope Seed Support Center | Nutritionist | 10103 Earlington Manor Dr, Spring, TX 77379-7459 | 2020-06-26 |
| 1255974523 | Maretta M Maple | Nutritionist | 14010 Valley Grove Dr, Houston, TX 77066-5523 | 2019-10-19 |
| 1053962761 | Gerryl Landry Krilic | Nutritionist | Friscofit City Ambassador Health Coaching & Wellness, 5410 Beacon Hill Drive, Frisco, TX 75036 | 2019-09-24 |
| 1497250559 | Ingram's Nutrition Consultations | Nutritionist | 4913 Hidden Acres, Texarkana, TX 75503-2991 | 2018-03-29 |
| 1568979029 | Sapha Arias | Nutritionist | 12950 Wincrest Ct, Cypress, TX 77429-2084 | 2018-01-05 |
| 1265944698 | Milan Patel | Nutritionist | 10650 Culebra Rd Ste 104-261, San Antonio, TX 78251-4949 | 2017-10-25 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.