Nutrient Balance Center, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

N201 Issued in MN

Legal business name

NUTRIENT BALANCE CENTER, LLC

Practice address

2585 Sunnyknoll Ave Ste 201
Berkley, MI 48072-1530

Phone

(248) 291-7722

Fax

(248) 636-4606

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

David Rodgers, L.N., M.S.NPI 1699015115

Title

Licensed Nutritionist

Phone

(248) 291-7722

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Rodgers, L.N., M.S.

  • Nutritionist
  • Berkley, MI
  • NPI 1699015115
  NPD (past) Authorized official

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1255671749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SUNNYKNOLL AVE STE 201",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721530",
            "telephone_number": "248-291-7722",
            "fax_number": "248-636-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SUNNYKNOLL AVE STE 201",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721530",
            "telephone_number": "248-291-7722",
            "fax_number": "248-636-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIENT BALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED NUTRITIONIST",
        "authorized_official_telephone_number": "248-291-7722",
        "authorized_official_credential": "L.N., M.S."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Kim Nguyen, ACNP-AG
• Justine M Noel, M.D.
• David M Nori, MD
• Northwood Physicians, P.C.
• Novus Primary Care, PLLC
• Meghan O'Donnell, DC
• Lucy J Opris, D.D.S.
• Orbital Vision PLLC
• Christopher Orow
• Melanie Osentoski, RDH

• Nutritionist in Berkley, MI
• Providers in Berkley, MI by specialty
• Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.