P Praxis·MD
● Active Type 1 · Individual

DR. Jack C. Tips, PH.D., C.C.N.

Nutritionist·Austin, TX· NPI 1104948041 · Enumerated 2007 · 19 years on NPI
Tips is 1 of 10 nutritionist providers in Austin and 1 of 114 in Texas.
NPI age
19 years
Enumerated 2007-04-04
Primary specialty
Nutritionist
Plus 1 subspecialty
Licensed in
NY
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 114 active nutritionist providers in Texas.

NPI age
19 years
↑ 14 yr above median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 18% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
9419 Westminster Glen
Austin, TX 78730
📞 5123283996fax 5122637787
Mailing address
9419 Prince William
Austin, TX 78730
📞 5123283996fax 5122637787

Specialties

  • Nutritionist Primary
    Definition to come...
    NY license #0017161 taxonomy 133NN1002X
  • Dietetic Technician, Registered
    A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who...
    NY license #0017161 taxonomy 136A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new nutritionist provider has been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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