NPIMap

Organization Active NPI

Balanced Nutrition Therapy, LLC

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1609559384
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BALANCED NUTRITION THERAPY, LLC
Practice address
50 Crestwood Executive Ctr Ste 500
Saint Louis, MO 63126-1948
Phone
(636) 686-0682
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Rebecca Adams, RDNPI 1073830600
Title
Dietitian
Phone
(636) 686-0682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

50 Crestwood Executive Ctr Ste 500
Saint Louis, MO 63126-1948

Mailing address

529 Vista Hills CT
Eureka, MO 63025-3605

National Provider Directory

National Provider Directory

Locations

140 Prospect Ave
Ste M
Saint Louis, MO 63122
Phone (201) 739-2504

50 Crestwood Executive Ctr
Ste 500
Sappington, MO 63126
Phone (314) 329-5374

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1609559384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 VISTA HILLS CT",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR STE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261948",
            "telephone_number": "636-686-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "636-686-0682",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.