NPIMap

Organization Active NPI

Simple Balanced Life, LLC

  • Registered Dietitian
  • Clarksburg, MD
National Provider Identifier
1760172340
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SIMPLE BALANCED LIFE, LLC
Practice address
13613 Little Seneca Pkwy
Clarksburg, MD 20871-3423
Phone
(240) 421-3273
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Ms. Chiamaka Nwachukwu, RDNNPI 1417569146
Title
Owner
Phone
(240) 421-3273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

13613 Little Seneca Pkwy
Clarksburg, MD 20871-3423

Mailing address

13613 Little Seneca Pkwy
Clarksburg, MD 20871-3423
Phone (240) 421-3273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1760172340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 LITTLE SENECA PKWY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713423",
            "telephone_number": "240-421-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13613 LITTLE SENECA PKWY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713423",
            "telephone_number": "240-421-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE BALANCED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "CHIAMAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-421-3273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.