Tiffany Harris, PHD, CREBT

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

45 E Monterey Way # 202a
Phoenix, AZ 85012-2753

Phone

(602) 791-0199

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Aesthetica PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
  • NPI 1174343883

  Nutrition, Education

  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1841978988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E MONTEREY WAY # 202A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122753",
            "telephone_number": "602-791-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MONTEREY WAY # 202A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122753",
            "telephone_number": "602-791-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7150 N 58th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853012487",
            "country_code": "US",
            "telephone_number": "602-791-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PHD, CREBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayanna C. Harris
• Robert Harris
• Ronald Harris
• Scott Harris
• Sean Harris
• Tyson Blue Harris, D.C.
• Vanita J Harris
• Zachary Harris, MD
• Zoey Ilana Harris, MD
• Suzette Nicole Harrison-Morrison, MS, BCBA, LBA

• Nutrition Education Nutritionist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nutrition Education Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.