Organization Active NPI

Braxton Balanced Nutrition, LLC

  • Registered Dietitian
  • Gastonia, NC
National Provider Identifier
1003798257
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BRAXTON BALANCED NUTRITION, LLC
Practice address
1605 Florida St
Gastonia, NC 28052-0733
Phone
(704) 685-7594
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel McClure Braxton, RD, LDNNPI 1467156117
Title
Member
Phone
(704) 685-7594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1605 Florida St
Gastonia, NC 28052-0733

Mailing address

1605 Florida St
Gastonia, NC 28052-0733
Phone (704) 685-7594

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1003798257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 FLORIDA ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280520733",
            "telephone_number": "704-685-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 FLORIDA ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280520733",
            "telephone_number": "704-685-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON BALANCED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MCCLURE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-685-7594",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.