Balance and Blossom Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BALANCE AND BLOSSOM NUTRITION LLC

Practice address

11331 SW 9TH CT
Pembroke Pines, FL 33025-4306

Phone

(786) 973-1918

NPI assigned

May 29, 2023

Last updated

May 29, 2023By 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

Jacie Adele Robles, RDN, LDNPI 1760117709

Title

Owner

Phone

(786) 973-1918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Jacie Adele Robles, RDN

  • Registered Dietitian
  • Pembroke Pines, FL
  • NPI 1760117709

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1518650340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 SW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254306",
            "telephone_number": "786-973-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 SW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254306",
            "telephone_number": "786-973-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND BLOSSOM NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "JACIE",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-973-1918",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amna Bakali, PA-C
• Andrea Denise Baker, PHARMD
• Christine Young Baker
• Jasmine S Baker
• Jaime Alejandro Balaguer Jr., O.D.
• Balancemed LLC (Mug & Mortar)
• Jordan Baldasare, AU.D.
• Baldev Singh, MD,PA (Pulmonary Consultants)
• Angelo Alan Baldonado, COTA/L
• Leidys Stefanye Ballestas Ruiz, SA-

• Registered Dietitian in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.