Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack C. Tips, PHD, CCN

Individual provider Nutrition Education Nutritionist · NPI 1104948041

Dr. Jack C. Tips, PHD, CCN is a Nutrition Education Nutritionist in Austin, Texas. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

9419 Westminster Gln
Austin, TX 78730
Phone: (512) 328-3996
Fax: (512) 263-7787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X · Licence 0017161 (NY)
Registered Dietetic Technician Taxonomy 136A00000X · Licence 0017161 (NY)

Record details

NPI number1104948041
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , CCN
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESOctober 16, 2015
Mailing address9419 Prince William, Austin, TX 78730

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