Active NPI
Balance Nutritional Health & Wellness, LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1518356237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003938
- Legal business name
- BALANCE NUTRITIONAL HEALTH & WELLNESS, LLC
- Practice address
- 1500 Walnut St
Suite 700
Philadelphia, PA 19102-3523 - Phone
- (609) 790-2826
- NPI assigned
- Jan 19, 2015
- Last updated
- Jan 19, 2015
- 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
- Kristin Raebiger, RD, LDN
- Title
- Registered Dietitian
- Phone
- (609) 790-2826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003938 | PA | Primary |
Addresses
Primary practice location
1500 Walnut St
Suite 700
Philadelphia, PA 19102-3523
Mailing address
1500 Walnut St
Suite 700
Philadelphia, PA 19102-3523
Phone (609) 790-2826
National Provider Directory
National Provider DirectoryLocations
2 Village Sq
New Hope, PA 18938
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": "1421625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421625600000",
"number": "1518356237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WALNUT ST",
"address_2": "SUITE 700",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023523",
"telephone_number": "609-790-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WALNUT ST",
"address_2": "SUITE 700",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023523",
"telephone_number": "609-790-2826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE NUTRITIONAL HEALTH & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A",
"authorized_official_last_name": "RAEBIGER",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "609-790-2826",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Pargol Balali, MD, MSC
- Frances Balamuth, M.D.
- Naomi Balamuth, M.D.
- Balance Health Center, P.C. (Christopher Bernabei, D.C.)
- Balance Home Health Care
- Balance-Vita PLLC (Matt Watto MD Concierge Primary Care)
- Balancing Life & Kids, Inc.
- Jherna Balany, M.D., M.P.H.
- Abirami Balarajan, MD
- William Balas, R. PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.