Trubalance Diabetes and Metabolic Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRUBALANCE DIABETES AND METABOLIC HEALTH LLC

Practice address

986 Knox Abbott Dr
Cayce, SC 29033-3320

Phone

(803) 401-5661

Fax

(803) 401-5780

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Lauren Booth, FNPNPI 1780115428

Title

MBR

Phone

(803) 292-1094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Lauren Booth

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1780115428
  Medicare reassignment NPD Authorized official
• Lori L Cook, M.D.

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1255317723
  Medicare reassignment NPD

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1063354744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 KNOX ABBOTT DR",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333320",
            "telephone_number": "803-401-5661",
            "fax_number": "803-401-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 KNOX ABBOTT DR",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333320",
            "telephone_number": "803-401-5661",
            "fax_number": "803-401-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUBALANCE DIABETES AND METABOLIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "803-292-1094",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Dubois Van Dalen, OTR/L

• Internal Medicine Physician in Cayce, SC
• Providers in Cayce, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.