Organization Active NPI

Living in Balance Health Center, P.a.

  • Family Nurse Practitioner
  • Raymond, NH
National Provider Identifier
1609053057
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
026553-23-03 Issued in NH
Legal business name
LIVING IN BALANCE HEALTH CENTER, P.A.
Practice address
74 Main Street
Raymond, NH 03077
Phone
(603) 895-1658
Fax
(603) 895-9394
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jan J Rajchel
Title
Business Manager
Phone
(603) 896-1658

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 033294-21 NH
Family Nurse Practitioner 363LF0000X 026553-23-03 NH Primary

Addresses

Primary practice location

74 Main Street
Raymond, NH 03077

Mailing address

PO Box 1139
Raymond, NH 03077-1139
Phone (603) 895-1658

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1609053057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771139",
            "telephone_number": "603-895-1658",
            "fax_number": "603-895-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN STREET",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "03077",
            "telephone_number": "603-895-1658",
            "fax_number": "603-895-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN BALANCE HEALTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "RAJCHEL",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-896-1658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "033294-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "026553-23-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.