Individual provider Active NPI

Tiffone Nubarka Powers-Parker

  • Registered Dietitian
  • Mesa, AZ
National Provider Identifier
1376010538
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86018338 Issued in AZ
Practice address
2734 S Wesley
Mesa, AZ 85209-7936
Phone
(480) 390-2061
NPI assigned
Oct 25, 2018
Reactivated
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 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 86018338 AZ Primary

Addresses

Primary practice location

2734 S Wesley
Mesa, AZ 85209-7936

Mailing address

2734 S Wesley
Mesa, AZ 85209-7936
Phone (480) 390-2061

Other names 1

  • Tiffone Nubarka Powers-Parker Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL nutritionmadesimple.net Direct
CONNECT URL nutritionmadesimple.net Direct
CONNECT URL nutritionmadesimple.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1376010538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 S WESLEY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097936",
            "telephone_number": "480-390-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 S WESLEY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097936",
            "telephone_number": "480-390-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS-PARKER",
        "first_name": "TIFFONE",
        "middle_name": "NUBARKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "deactivation_date": "2023-03-14",
        "reactivation_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86018338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nutritionmadesimple.net",
            "affiliation": "N",
            "endpointDescription": "nutritionmadesimple.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2734 S Wesley",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852097936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nutritionmadesimple.net",
            "affiliation": "N",
            "endpointDescription": "nutritionmadesimple.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2734 S Wesley",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852097936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nutritionmadesimple.net",
            "affiliation": "N",
            "endpointDescription": "nutritionmadesimple.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2734 S Wesley",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852097936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFONE",
            "last_name": "POWERS-PARKER",
            "middle_name": "NUBARKA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.