Provider Demographics
NPI:1790389823
Name:BATSAKIS, TIFFANY LEE (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LEE
Last Name:BATSAKIS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 DELAWARE AVE SW APT N205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3911
Mailing Address - Country:US
Mailing Address - Phone:210-388-3377
Mailing Address - Fax:
Practice Address - Street 1:1301 DELAWARE AVE SW APT N205
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3911
Practice Address - Country:US
Practice Address - Phone:210-388-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86031571133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered