Individual provider Active NPI

Tiffany Frances Davis, RD, LDN

  • Registered Dietitian
  • Geneva, IL
National Provider Identifier
1578885596
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.004854 Issued in IL
Practice address
22 Crissey Ave
Suite 200
Geneva, IL 60134-2351
Phone
(630) 232-7770
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 164.004854 IL
Registered Dietitian 133V00000X 164.004854 IL Primary

Addresses

Primary practice location

22 Crissey Ave
Suite 200
Geneva, IL 60134-2351

Mailing address

22 Crissey Ave
Suite 200
Geneva, IL 60134-2351
Phone (630) 232-7770

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
164.004854ILMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Nutrition Services PLLC Dietitian, Registered Current Accepting new patients
Emma B Arellano Cabusao LTD Past Accepting new patients
Intermission Therapies, LTD. PastSince Nov 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1578885596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIFFANY",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "164.004854",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.