Organization Active NPI

Nutribalance Dietetics, LLC

  • Renal Nutrition Registered Dietitian
  • Trabuco Canyon, CA
National Provider Identifier
1316724321
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
NUTRIBALANCE DIETETICS, LLC
Practice address
31976 Lazy Glen LN
Trabuco Canyon, CA 92679-3217
Phone
(949) 636-4907
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Theresa Helmuth, RDN, CSR
Title
Registered Dietitian
Phone
(949) 636-4907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1005X Primary

Addresses

Primary practice location

31976 Lazy Glen LN
Trabuco Canyon, CA 92679-3217

Mailing address

31976 Lazy Glen LN
Trabuco Canyon, CA 92679-3217
Phone (949) 636-4907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1316724321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31976 LAZY GLEN LN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793217",
            "telephone_number": "949-636-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31976 LAZY GLEN LN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793217",
            "telephone_number": "949-636-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIBALANCE DIETETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "HELMUTH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "949-636-4907",
        "authorized_official_credential": "RDN, CSR"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.