Energy Balance LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ENERGY BALANCE LLC

Practice address

12309 Chattanooga Dr
Frisco, TX 75035-7993

Phone

(214) 668-9226

Fax

(972) 335-3714

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberley A Cross

Title

President

Phone

(214) 668-9226

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1740436351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 CHATTANOOGA DRIVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-668-9226",
            "fax_number": "972-335-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 CHATTANOOGA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357993",
            "telephone_number": "214-668-9226",
            "fax_number": "972-335-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-668-9226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.