Balanced Naturally, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

16459 Issued in TN

Legal business name

BALANCED NATURALLY, LLC

Practice address

7730 Wolf River Blvd
Suite 112
Germantown, TN 38138-1708

Phone

(901) 756-2424

Fax

(901) 756-7504

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M Wootton, DCNPI 1497742894

Title

Clinic Owner

Phone

(901) 756-2424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M. Wootton, DC

  • Chiropractor
  • Germantown, TN
  • NPI 1497742894
  Authorized official Same address or phone

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1093132755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "SUITE 112",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-756-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "SUITE 112",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-756-2424",
            "fax_number": "901-756-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED NATURALLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "901-756-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Elizabeth Bailey, MD
• James W. Bailey, M.D.
• Adam W Baker, MD
• Christy Colley Baker, APRN
• Claudia Baker, CRNA
• Heather Sehnert Baldwin, MD
• Laura Ball, COTA/L
• Grace Balsam
• Joseph George Baltz Jr., M.D.
• Jugert Bango

• Nurse Practitioner in Germantown, TN
• Providers in Germantown, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.