Tiffany Lynn Lankford, NDTR
Individual provider Active NPI Nutritionist · Joshua, TX
NPI 1811656325 · NPPES record last updated Dec 12, 2021
Key facts
- NPI
- 1811656325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 6204 Arizona CT
Joshua, TX 76058-4293 - Phone
- (517) 214-1657
- NPI assigned
- Dec 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
6204 Arizona CT
Joshua, TX 76058-4293
Mailing address
6204 Arizona CT
Joshua, TX 76058-4293
Phone (517) 214-1657
Other providers in Joshua, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.