Individual provider Active NPI

Tiffany Denise Richardson, RD

  • Registered Dietitian
  • Memphis, TN
National Provider Identifier
1124679691
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2648 Issued in TN
Practice address
969 Frayser Blvd
Memphis, TN 38127-5977
Phone
(901) 842-3162
Fax
(901) 842-2362
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2648 TN Primary

Addresses

Primary practice location

969 Frayser Blvd
Memphis, TN 38127-5977

Mailing address

2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 842-3160

Other names 1

  • Tiffany Townsend Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604001663 TN Practitioner - Registered Dietitian Or Nutrition Professional 6901227677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Community Health Services Inc.Group PAC ID 3870402084, 61 clinicians

Practice addresses (Care Compare)

5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone (901) 271-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2648TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Jan 29, 2020 Accepting new patients
Christ Community Health Services Inc CurrentSince Jan 29, 2020 Accepting new patients
Christ Community Health Services Inc Current Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1124679691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045905",
            "telephone_number": "901-842-3160",
            "fax_number": "901-842-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275977",
            "telephone_number": "901-842-3162",
            "fax_number": "901-842-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TIFFANY",
        "middle_name": "DENISE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TOWNSEND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.