Organization Active NPI

Balanced Body Health and Wellness LLC

Doing business as Balanced Body Health and Wellness

  • Adult Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1205602968
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BALANCED BODY HEALTH AND WELLNESS LLC
Doing business as
Balanced Body Health and Wellness
Practice address
10815 Elm St
Omaha, NE 68144-4819
Phone
(402) 807-5333
Fax
(402) 804-2997
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Sherri Lynn Griggs, NPNPI 1508559899
Title
Owner
Phone
(402) 850-4514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

10815 Elm St
Omaha, NE 68144-4819

Mailing address

10815 Elm St
Omaha, NE 68144-4819
Phone (402) 807-5333

Other names 1

  • Balanced Body Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1205602968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444819",
            "telephone_number": "402-807-5333",
            "fax_number": "402-804-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444819",
            "telephone_number": "402-807-5333",
            "fax_number": "402-804-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-850-4514",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Body Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.