Tiffany Stephanchick, RDN, LD
Dietitian, Registered in Austin, TX. Individual provider (NPI-1).
NPI number1124978697
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1124978697
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Stephanchick
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2026
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86084693 | OH | Yes |
Practice location
3724 Jefferson St Ste 104Austin, TX 78731-6204
Phone 440-714-1928
Mailing address
3724 Jefferson St Ste 104Austin, TX 78731-6204
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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