Balanced Bodies Balanced Minds LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX3720 Issued in MD

Legal business name

BALANCED BODIES BALANCED MINDS LLC

Practice address

4743 Hallowed STRM
Ellicott City, MD 21042-7902

Phone

(410) 303-3511

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Joshua Nachman, MS, CNS, LDN

Title

Owner

Phone

(410) 303-3511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1154719490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "410-303-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "410-303-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODIES BALANCED MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "NACHMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-303-3511",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.