Organization Active NPI

Balanced Nutrition LLC

  • Health Service Clinic/Center
  • Tucson, AZ
National Provider Identifier
1740688258
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BALANCED NUTRITION LLC
Practice address
7493 N Oracle Rd Ste 203
Tucson, AZ 85704-6332
Phone
(520) 730-3094
Fax
(520) 428-5812
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Emily Susan Mason, R.D.N.
Title
Owner
Phone
(520) 730-3094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7493 N Oracle Rd Ste 203
Tucson, AZ 85704-6332

Mailing address

3447 E Corte Paloma Brava
Tucson, AZ 85718-3454
Phone (520) 730-3094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1740688258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 E CORTE PALOMA BRAVA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183454",
            "telephone_number": "520-730-3094",
            "fax_number": "520-428-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 N ORACLE RD STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046332",
            "telephone_number": "520-730-3094",
            "fax_number": "520-428-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-730-3094",
        "authorized_official_credential": "R.D.N."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.