Provider Demographics
NPI:1760443964
Name:TIPPIN, JOANNE L (RD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:L
Last Name:TIPPIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:L
Other - Last Name:GETZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1355 EAST ST
Mailing Address - Street 2:STE 200
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0801
Mailing Address - Country:US
Mailing Address - Phone:530-605-4260
Mailing Address - Fax:530-605-4265
Practice Address - Street 1:1100 BUTTE ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0852
Practice Address - Country:US
Practice Address - Phone:530-246-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ28472ZMedicare ID - Type Unspecified