Organization Active NPI

Balanced Nutrition for Life

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1053865071
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004308 Issued in NC
Legal business name
BALANCED NUTRITION FOR LIFE
Practice address
6047 Tyvola Glen Cir Ste 214
Charlotte, NC 28217-6438
Phone
(704) 449-4293
Fax
(704) 496-2233
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Hannah Limpert, R.D.
Title
Owner/Registered Dietitian
Phone
(704) 449-4293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X L004308 NC Primary

Addresses

Primary practice location

6047 Tyvola Glen Cir Ste 214
Charlotte, NC 28217-6438

Mailing address

6047 Tyvola Glen Cir Ste 214
Charlotte, NC 28217-6438
Phone (704) 449-4293

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

Locations

6047 Tyvola Glen Cir
Ste 214
Charlotte, NC 28217
Phone (704) 449-4293

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1053865071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176438",
            "telephone_number": "704-449-4293",
            "fax_number": "704-496-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176438",
            "telephone_number": "704-449-4293",
            "fax_number": "704-496-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED NUTRITION FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "LIMPERT",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "704-449-4293",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.