Balanced Change Nutrition and Wellness

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BALANCED CHANGE NUTRITION AND WELLNESS

Doing business as

Balanced Change

Practice address

12528 Birchfalls Dr
Raleigh, NC 27614-9676

Phone

(984) 600-0997

NPI assigned

Mar 21, 2025

Last updated

Mar 21, 2025By 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

Damian Ganoe, RDNNPI 1154136224

Title

Registered Dietitian

Phone

(984) 600-0997

Specialties & licenses 4

Addresses

Other names 1

• Balanced Change Doing business as

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.

• Damian J Ganoe, REGISTERED DIETITIAN

  • Registered Dietitian
  • Aberdeen, NC
  • NPI 1154136224
  NPD Authorized official

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1265233795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 BIRCHFALLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149676",
            "telephone_number": "984-600-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 BIRCHFALLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149676",
            "telephone_number": "984-600-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13321 US 15 501 Hwy",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "NC",
            "postal_code": "283155034",
            "country_code": "US",
            "telephone_number": "984-600-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED CHANGE NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "GANOE",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "984-600-0997",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamia Baker
• Teena Baker, LPC-A
• Tierra Baker
• Rebecca Olson Bakkestuen, PAC
• Stacey Bala, MS, RD, LDN
• Balanced Physical Therapy & Sports Performance
• Joelle Balcita
• Baldwin Counseling & Consulting Services
• Amber Shavon Baldwin
• Arlisha Baldwin

• Health Service Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.