MS. TIFFANY LATESE STACKENS (NPI# 1598985491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598985491 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY LATESE STACKENS |
| Practice Address |
804 N Parkway Jackson TN 38305-3058 |
| Mailing Address |
39 Brooksie Dr 589 East College St Jackson TN 38305-3621 |
| Practice Telephone | 7314233020 |
| Mailing Telephone | 7316605611 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
804 N PARKWAY |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902972706 | Lanora Elaine Bryant | Dentist | 804 N Parkway, Jackson Madison County Regional Health Dept, Jackson, TN 38305-3058 | 2006-11-27 |
| 1598162661 | Cynedra Neely | Licensed Practical Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-12-04 |
| 1477976967 | Ashley Wilkinson | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-02-04 |
| 1093137259 | Catherine Watson Crutchfield | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-01-07 |
| 1265700637 | Jackson Madison County Regional Health Department | Clinic/Center | 804 N Parkway, Jackson, TN 38305-3058 | 2011-12-13 |
| 1407174220 | Leeann Huskey | Licensed Practical Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2010-05-05 |
| 1538307418 | Janice V Brown | Counselor | 804 N Parkway, Jackson, TN 38305-3058 | 2009-01-30 |
| 1487891099 | Courtney Beth Agee | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2009-01-20 |
| 1902041320 | Leanne Simpson Montgomery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2008-12-15 |
| 1134375793 | Tara Lynn Rogers | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023355245 | Jackson Madison General Hospital | Nutritionist | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2013-01-08 |
| 1518238807 | Baptist Nutrition Clinic | Nutritionist | 1190 N State St, Suite 204, Jackson, MS 39202-2413 | 2012-01-19 |
| 1902041320 | Leanne Simpson Montgomery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2008-12-15 |
| 1770770117 | Tiffani L Grant | Nutritionist | 2500 North State Street, Department of Medicine/division of General Internal Med, Jackson, MS 39216-4500 | 2007-10-01 |
| 1316139181 | Jacinda B. Roach | Nutritionist | 1860 Chadwick Dr, Suite 150, Jackson, MS 39204-3463 | 2007-08-15 |
| 1326268228 | Patricia Dawn Lowery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109447 | Priya A Patel | Nutritionist | 389 Huntington Ridge Dr, Nashville, TN 37211-5988 | 2020-09-19 |
| 1881243863 | Lynette Newhart | Nutritionist | 269 James Zimmerman Rd, Hampshire, TN 38461-5112 | 2019-09-11 |
| 1215582598 | Nutrition Wellness | Nutritionist | 9494 Fox Hill Circle N., Germantown, TN 38139 | 2019-08-05 |
| 1760976237 | Deneen Kimberly Gault | Nutritionist | 25 Morgan Ln, Lebanon, TN 37087-1580 | 2018-06-19 |
| 1174013924 | Beverly Jane Hicks | Nutritionist | 344 Court St, Huntsville, TN 37756-1404 | 2018-05-17 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1659808426 | Nashville Wellness Center, Pllc | Nutritionist | 9000a Church St E, Brentwood, TN 37027 | 2017-05-11 |
| 1982141198 | Donna Tschopp | Nutritionist | 2756 Appling Center Cv, Ste 106, Memphis, TN 38133-5079 | 2017-01-25 |
| 1629422621 | Kira Whitham | Nutritionist | 2548 Devon Valley Dr, Nashville, TN 37221-3100 | 2016-04-16 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 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.