Balanced Nourishment

Primary specialty

NutritionistTaxonomy code 133N00000X

License

48892606 Issued in CT

Legal business name

BALANCED NOURISHMENT

Practice address

66 Laurel LN
Simsbury, CT 06070-1518

Phone

(860) 306-3722

NPI assigned

Jun 19, 2007

Last updated

Jun 16, 2008By 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

Pamela CarignanNPI 1386863371

Title

Director and Founder

Phone

(860) 306-3722

Specialties & licenses 1

Addresses

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.

• Pamela Carignan

  • Nutritionist
  • Simsbury, CT
  • NPI 1386863371
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1487859559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LAUREL LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701518",
            "telephone_number": "860-306-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LAUREL LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701518",
            "telephone_number": "860-306-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED NOURISHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CARIGNAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR AND FOUNDER",
        "authorized_official_telephone_number": "860-306-3722"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "48892606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Nutritionist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.