Kassady Backes

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

2204 River Run Dr Unit 17
San Diego, CA 92108-5805

Phone

(573) 690-1715

NPI assigned

Feb 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1659176402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 RIVER RUN DR UNIT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085805",
            "telephone_number": "573-690-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 RIVER RUN DR UNIT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085805",
            "telephone_number": "573-690-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKES",
        "first_name": "KASSADY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Prevention Inc
• Back to Prevention, LLC
• Haley Back
• Lisa Henriksen Backer, PH.D.
• Rushton Arthur Backer, PHD
• Autumn Loreene Backhaus, PH.D.
• Backstage Health
• Kirsten Baclig
• Dan Bacon, M.A.
• Danielle Nicole Bacon

• Nutritionist in San Diego, CA
• Providers in San Diego, CA by specialty
• Nutritionist in California

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