Organization Active NPI

Balance Nutritional Health & Wellness, LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1518356237
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003938 Issued in PA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.