Organization Active NPI

Balanced Health Therapy Limited Liability Company

  • Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1063325538
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BALANCED HEALTH THERAPY LIMITED LIABILITY COMPANY
Practice address
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone
(227) 770-0744
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Isabella Kenyen Ngedzeyeem
Title
CRNP-PMH
Phone
(227) 770-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Mailing address

8924B Walkerton Dr
Lanham, MD 20706-1963
Phone (227) 770-0744

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1063325538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924B WALKERTON DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061963",
            "telephone_number": "227-770-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD STE 400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "227-770-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH THERAPY LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "NGEDZEYEEM",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_middle_name": "KENYEN",
        "authorized_official_title_or_position": "CRNP-PMH",
        "authorized_official_telephone_number": "227-770-0744"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.