DR. GALE RUSSELL TIPTON JR. (NPI# 1831345305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831345305 |
| Entity Type | Individual |
| Full Name | DR. GALE RUSSELL TIPTON JR. |
| Credential | N.D. |
| Practice Address |
1408 S Fillmore St Little Rock AR 72204-2627 |
| Practice Telephone | 5013108227 |
| Mailing Telephone | 5013108227 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
NAT 182 | DC | Dietary & Nutritional Service Providers |
| Street Address |
1408 S FILLMORE ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871861294 | Wow Fitness | Nutritionist | 5523 Mabelvale Pike, Little Rock, AR 72209-1823 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198594 | Anni Julliett Fuenmayor | Nutritionist | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-10 |
| 1982175188 | Sarah Jane Frick | Nutritionist | 209 S Portland Ave, Russellville, AR 72801-2339 | 2018-12-16 |
| 1083140842 | Kim Mcpherson | Nutritionist | 611 Court St, Suite 6, Conway, AR 72032-5446 | 2017-05-11 |
| 1902358633 | Crystal Gale Rickett | Nutritionist | 1910 Malvern Avenue, Hot Springs, AR 71901-9638 | 2016-10-28 |
| 1982016028 | Baptist Health Hospitals | Nutritionist | 1703 N Buerkle St, Stuttgart, AR 72160-3153 | 2014-05-23 |
| 1457577397 | Jane Y Pelkki | Nutritionist | 778 Scogin Dr, Monticello, AR 71655-5729 | 2007-04-18 |
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on DR. GALE RUSSELL TIPTON JR..
| 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.