Back to Balance, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5439 Issued in FL

Legal business name

BACK TO BALANCE, INC

Practice address

6015 Chester Cir Ste 106
Suite 106
Jacksonville, FL 32217-2270

Phone

(904) 448-8681

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Elizabeth Rellihan, RD, LD/N

Title

President

Phone

(904) 448-8681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1104130848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR",
            "address_2": "SUITE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172277",
            "telephone_number": "904-448-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 106",
            "address_2": "SUITE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "904-448-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "RELLIHAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-448-8681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie E Bacher
• Amarilys Bachiller
• Kerry Mark Bachista, M.D.
• Roderick Allan Bacho, PH.D.
• Back Into Health Chiropractic Inc.
• Back to Me: Physical Therapy & Coaching LLC
• Backer Counseling LLC
• Chad Arik Backer, LMHC
• William Backman
• Susan Teresa Bacot, LMHC

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.