Back in Balance Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BACK IN BALANCE NUTRITION LLC

Practice address

801 W Bay Dr Ste 236
Largo, FL 33770-3269

Phone

(865) 748-8036

Fax

(727) 261-0208

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Lindsay Michelle Allen, RD

Title

Registered Dietitian and Owner

Phone

(865) 748-8036

Specialties & licenses 1

Addresses

Other names 1

• BodyPure Functional Nutrition Doing business as

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1689340887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 236",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-300-9316",
            "fax_number": "727-261-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 236",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "865-748-8036",
            "fax_number": "727-261-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN AND OWNER",
        "authorized_official_telephone_number": "865-748-8036",
        "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": [
        {
            "organization_name": "BodyPure Functional Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Gayle Austin, LMHC, NCC
• Erica Avallone, M.S.
• Irwin Ira Ayes, D.P.M.
• Jay Barry Azneer, DO
• Bryan Allan Bacher, L.M.H.C.
• Back-2-Life of Florida, Inc.
• Christopher John Backer, LMFT
• Patricia Hearing Backer, RD, LDN
• Christina Michelle Baden, PA-C
• Vlad Badescu, MD

• Registered Dietitian in Largo, FL
• Providers in Largo, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.