Balanced Body Medical, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BALANCED BODY MEDICAL, LLC

Practice address

7975 W Sahara Ave Ste 101
Las Vegas, NV 89117-7916

Phone

(725) 205-2457

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 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

Nikki Powell

Title

Senior Accounting Manager

Phone

(702) 724-5157

Specialties & licenses 1

Addresses

Tax ID family

Balanced Body Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Balanced Body Medical, LLC

  dba Body Balance Medical

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1528814662
  NPD tax ID

Locations

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1659157568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177916",
            "telephone_number": "725-205-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177916",
            "telephone_number": "725-205-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "SENIOR ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "702-724-5157"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Balanced Body LLC
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• Balanced Life Mental Health LLC
• Balanced Mental Health
• Balanced Mind Centers
• Balanced Mind Centers LLC
• Balanced Mind Centers LLC

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.