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Dr. Tiffany A. Nunnelley-Gravdahl, DO

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(Dr. Tiffany A. Nunnelley, DO)

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Specializes in: Family Medicine

Professional interests include: asthma, gastrointestinal problems (digestive disorders), skin issues, and more.

6565 E Greenway Parkway Suite 100
Scottsdale, AZ 85254

(480) 348-3200

Dr. Tiffany A. Nunnelley-Gravdahl, DO is a family medicine practitioner in Scottsdale, AZ specializing in family medicine. Dr. Tiffany A. Nunnelley-Gravdahl, DO is affiliated with Abrazo Health, Abrazo Scottsdale Campus and VHS OUTPATIENT CLINICS INC.

Office Locations

Address:

6565 E Greenway Parkway Suite 100
Scottsdale, AZ 85254

Some issues Dr. Tiffany A. Nunnelley-Gravdahl, DO can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Gastrointestinal Problems (Digestive Disorders)

The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.

IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.

Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.

GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.

Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.

Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.

Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

diabetes management	32
doctor visit	254
lab tests	50
preventive care	27
vaccines	28

**Gender**
Male	59
Female	114

**Ethnicity**
Non-Hispanic White	157
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	32
85 and over	19
Less than 65	24

Hypertension	58
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	25
Depression	20
Chronic Kidney Disease	14
Asthma	8
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	8
Chronic Obstructive Pulmonary Disease	7
Diabetes	18
Dementia	7
Cancer	9

diabetes management	16
doctor visit	161
lab tests	15

**Gender**
Male	37
Female	83

**Age**
From 65 to 74	67
From 75 to 84	25
85 and over	0
Less than 65	0

Hypertension	57
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	15
Depression	21
Chronic Kidney Disease	19
Asthma	0
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	9
Chronic Obstructive Pulmonary Disease	0
Diabetes	16
Dementia	13
Cancer	0

diabetes management	25
doctor visit	269
lab tests	50
preventive care	13
thoracic (chest) imaging	22
vaccines	14
X-rays	21

**Gender**
Male	128
Female	278

**Ethnicity**
Non-Hispanic White	364
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	82
85 and over	42
Less than 65	46

Hypertension	58
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	17
Depression	16
Chronic Kidney Disease	16
Asthma	6
Osteoperosis	11
Atrial Fibrilation	9
Heart Failure	6
Chronic Obstructive Pulmonary Disease	7
Diabetes	20
Dementia	7
Cancer	10

diabetes management	14
doctor visit	409
lab tests	47
preventive care	77
thoracic (chest) imaging	17
vaccines	78
X-rays	16

**Gender**
Male	76
Female	163

**Ethnicity**
Non-Hispanic White	212
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	47
85 and over	0
Less than 65	0

Hypertension	56
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	20
Depression	16
Chronic Kidney Disease	20
Asthma	13
Osteoperosis	10
Atrial Fibrilation	6
Heart Failure	0
Chronic Obstructive Pulmonary Disease	7
Diabetes	20
Dementia	6
Cancer	8

doctor visit	398
lab tests	23
preventive care	44
spinal procedures	13
thoracic (chest) imaging	25
vaccines	45
X-rays	38

**Gender**
Male	56
Female	158

**Ethnicity**
Non-Hispanic White	192
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	141
From 75 to 84	43
85 and over	11
Less than 65	19

Hypertension	61
High Cholesterol	46
Stroke	0
Ischemic Heart Disease	26
Depression	23
Chronic Kidney Disease	22
Asthma	10
Osteoperosis	7
Atrial Fibrilation	7
Heart Failure	10
Chronic Obstructive Pulmonary Disease	7
Diabetes	19
Dementia	8
Cancer	9

doctor visit	412
lab tests	28
preventive care	66
vaccines	67

**Gender**
Male	54
Female	161

**Ethnicity**
Non-Hispanic White	192
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	137
From 75 to 84	44
85 and over	12
Less than 65	22

Hypertension	61
High Cholesterol	56
Stroke	5
Ischemic Heart Disease	25
Depression	30
Chronic Kidney Disease	27
Asthma	9
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	16
Dementia	8
Cancer	8

doctor visit	306
lab tests	14
preventive care	14
vaccines	15

**Gender**
Male	51
Female	160

**Ethnicity**
Non-Hispanic White	187
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	36
85 and over	14
Less than 65	18

Hypertension	55
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	22
Depression	32
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	9
Atrial Fibrilation	6
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	22
Dementia	6
Cancer	10

doctor visit	406
lab tests	17
preventive care	28
vaccines	29

**Gender**
Male	65
Female	207

**Ethnicity**
Non-Hispanic White	246
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	166
From 75 to 84	60
85 and over	16
Less than 65	30

Hypertension	55
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	19
Depression	27
Chronic Kidney Disease	22
Asthma	8
Osteoperosis	8
Atrial Fibrilation	6
Heart Failure	9
Chronic Obstructive Pulmonary Disease	9
Diabetes	21
Dementia	6
Cancer	9

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Tiffany A. Nunnelley-Gravdahl, DO for Medicare patients.

The highest averages for the top procedures that Dr. Tiffany A. Nunnelley-Gravdahl, DO treated as a family medicine practitioner in Scottsdale, AZ were blood draw, vaccines, preventive care and lab tests.

blood draw	134
diabetes management	22
doctor visit	384
lab tests	36
preventive care	39
spinal procedures	11
thoracic (chest) imaging	21
vaccines	41
X-rays	21

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Tiffany A. Nunnelley-Gravdahl, DO.

**Gender**
Male	52
Female	132

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	155
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	11
75 to 84	36
Less than 65	15
65 to 74	114

Average of Total of Conditions of Medicare patients treated by Dr. Tiffany A. Nunnelley-Gravdahl, DO From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Tiffany A. Nunnelley-Gravdahl, DO treated were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	46
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	16
Depression	18
Chronic Kidney Disease	16
Asthma	6
Osteoporosis	6
Heart Failure	6
Chronic Obstructive Pulmonary Disease	5
Diabetes	15
Atrial Fibrillation	6
Dementia	6
Cancer	6

Education & Training

She has a state license in Arizona.

Licensed In: Arizona

Affiliations & Hospitals

Dr. Tiffany A. Nunnelley-Gravdahl, DO is associated with these hospitals and organizations:

Abrazo Health

Abrazo Scottsdale Campus

VHS OUTPATIENT CLINICS INC

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General Payments

These charts describe general payments received by Dr. Tiffany A. Nunnelley-Gravdahl, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$1,048 BYDUREON $332	SYMBICORT $326	CRESTOR $228	BYDUREON WEEKLY $66	BYDUREON PEN $30	Other $65
Pfizer Inc.	$584 ELIQUIS $408	VIAGRA $48	LYRICA $34	CHANTIX $24	PAXLOVID $22	Other $49
Janssen Pharmaceuticals, Inc	$556 INVOKANA $311	XARELTO $222	JNJ-28431754 $11	$11
Novo Nordisk Inc	$494 NovoLog $202	Victoza $185	NovoLog Mix 70 30 $62	Saxenda $45
Takeda Pharmaceuticals America, Inc.	$418 Brintellix $134	AMITIZA $120	Contrave $116	Oseni $18	Colcrys $14	Other $16
Other	$2,602 Vesicare $206	JARDIANCE $174	VIBERZI $169	Repatha $136	Belviq $123	Other $1,795

**Types of Payments**
Food and Beverage	$5,677
Consulting Fee	$23
Education	$2

Biography

Dr. Tiffany Nunnelley-Gravdahl's area of specialization is family medicine. Her clinical interests include diabetes management, gastrointestinal problems (digestive disorders), and acne. She is affiliated with Abrazo Scottsdale Campus. According to Doctor.com, new patients are welcome to contact Dr. Nunnelley-Gravdahl's office in Scottsdale, AZ.