Balance Nutrition With Andi LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

BALANCE NUTRITION WITH ANDI LLC

Practice address

41810 N Venture Dr Unit C122
Anthem, AZ 85086-3172

Phone

(623) 688-1498

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Andi Coffee

Title

Ceo

Phone

(623) 688-1498

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.

• Nicole Bonduris Walden, MS, LMT

  • Nutrition Education Nutritionist
  • San Antonio, TX
  • NPI 1073198008
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1306621032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR UNIT C122",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR UNIT C122",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863172",
            "telephone_number": "623-688-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE NUTRITION WITH ANDI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "ANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-688-1498"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azmobilemd
• James Christian Babana, PT, DPT
• Eva Babella, LAC
• Carrie Baker
• Alexandra Brooke Bakker, DNP, PNP-PC
• Molly Balbierz, OD
• Barnet Dulaney Perkins Eye Center, PC (American Vision Partners)
• Mary Baron, PH.D.
• Angela Chun Baskin, D.D.S.
• Vincen Bateman Jr.

• Nutritionist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.