Active NPI
Well Balanced LLC
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1467136598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELL BALANCED LLC
- Practice address
- 171 Williams St
Mobile, AL 36606-1444 - Phone
- (251) 508-5380
- NPI assigned
- Jun 9, 2023
- Last updated
- Jun 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Haley Nicole O'Connor, RD, LD
- Title
- Owner/Ceo
- Phone
- (251) 508-5380
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
171 Williams St
Mobile, AL 36606-1444
Mailing address
171 Williams St
Mobile, AL 36606-1444
Phone (251) 508-5380
National Provider Directory
National Provider DirectoryLocations
1015 Montlimar Dr
Unit C6
Mobile, AL 36609
Phone (251) 272-9790
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": "1686268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686268800000",
"number": "1467136598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 WILLIAMS ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061444",
"telephone_number": "251-508-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 WILLIAMS ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061444",
"telephone_number": "251-508-5380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL BALANCED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "HALEY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "251-508-5380",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.