Tiffany Latese Stackens

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

804 N Parkway
Jackson, TN 38305-3058

Phone

(731) 423-3020

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598985491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROOKSIE DR",
            "address_2": "589 EAST COLLEGE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053621",
            "telephone_number": "731-660-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKENS",
        "first_name": "TIFFANY",
        "middle_name": "LATESE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Spragins, A.P.R.N.
• Melissa Spray
• Richard Spring, PHD
• Julie Paschall Spurgeon, PT
• Omar Srour, MD
• Staffco of Southwest TN, LLC. Dba at Home Healthcare of Southwest TN
• Amber Lynn Stafford, CRNA
• Erick Stafford, PA-C
• Kayce Stafford, OTA
• Adrean Raquel Stamper, DNP

• Nutrition Education Nutritionist in Jackson, TN
• Providers in Jackson, TN by specialty
• Nutrition Education Nutritionist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.