KB Medical Nutrition Therapy LLC

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Legal business name

KB MEDICAL NUTRITION THERAPY LLC

Practice address

500 Burlington Rd
Harwinton, CT 06791-1506

Phone

(860) 485-0405

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By 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

Kathryn Leigh BalkunasNPI 1841779675

Title

Owner

Phone

(860) 484-9808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kathryn Leigh Balkunas, RDN, CDE

  • Metabolic Nutrition Registered Dietitian
  • Harwinton, CT
  • NPI 1841779675
  Authorized official Same address or phone
• Mary Ellen Campbell, R.D.

  • Registered Dietitian
  • Farmington, CT
  • NPI 1992003008
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1649749979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 JOHNNYCAKE MOUNTAIN RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060132011",
            "telephone_number": "860-484-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BURLINGTON RD",
            "city": "HARWINTON",
            "state": "CT",
            "postal_code": "067911506",
            "telephone_number": "860-485-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB MEDICAL NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "BALKUNAS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-484-9808"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "001637",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Larsson French, DDS
• Mary C Giarratano, OT
• Harwinton Ambulance Association Inc
• Pamela A. Heuschkel-Eggleston, MFT-LPC
• Donna L Hudson, LMFT
• Danielle Lefebvre, BCBA, LBA
• Limitless Therapy
• Camille McNicholas, C.R.N.A.
• Jenny Milish, LCSW
• Victoria Murno, M.S., RD, CD-N

• Metabolic Nutrition Registered Dietitian in Harwinton, CT
• Providers in Harwinton, CT by specialty
• Metabolic Nutrition Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.