Organization Active NPI

Pure Balance Cancer Support

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1780518530
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PURE BALANCE CANCER SUPPORT
Practice address
774 E 2100 S
Salt Lake City, UT 84106-1863
Phone
(252) 202-7594
NPI assigned
Jun 9, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Sawyer Sanchez
Title
Co-Founder
Phone
(252) 202-7594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Oncology Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1301X

Addresses

Primary practice location

774 E 2100 S
Salt Lake City, UT 84106-1863

Mailing address

774 E 2100 S
PMB 454
Salt Lake City, UT 84106-1863

National Provider Directory

National Provider Directory

Locations

774 E 2100 S
Salt Lake Cty, UT 84106

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1780518530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 E 2100 S",
            "address_2": "PMB 454",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061863",
            "telephone_number": "252-202-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCE CANCER SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SAWYER",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "252-202-7594"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.