Dr. Jack C. Tips, PH.D., C.C.N.
Dr. Jack C. Tips is a Nutrition Education Nutritionist provider (Nutritionist) practicing in Austin, TX, registered in the NPPES registry with NPI 1104948041 since 2007. The credential PHD stands for Doctor of Philosophy.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1104948041 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jack C. Tips |
| Credential | PH.D., C.C.N. |
| Sex | Male |
| Practice address | Austin, TX, 78730 |
| Phone | 5123283996 |
| Fax | 5122637787 |
| Enumeration date | 2007-04-04 |
| Last updated in NPPES | 2015-10-16 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133NN1002X | Nutrition Education Nutritionist | Primary | 0017161 | NY |
| 136A00000X | Registered Dietetic Technician | Secondary | 0017161 | NY |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Copy-ready billing details
Provider: Jack Tips, PH.D., C.C.N. NPI: 1104948041 Taxonomy: 133NN1002X (Nutrition Education Nutritionist) Address: Austin, TX, 78730
Verify this record
Cross-check NPI 1104948041 against the authoritative CMS record: view Dr. Jack C. Tips on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-10-16.