NPIMap

Organization Active NPI

Back 2 Basics Nutrition LLC

  • Registered Dietitian
  • Eldersburg, MD
National Provider Identifier
1790420370
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BACK 2 BASICS NUTRITION LLC
Practice address
2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079
Phone
(410) 598-4336
NPI assigned
Apr 28, 2022
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Lindsey Gill Carter, MS, RDNNPI 1881060143
Title
Owner
Phone
(410) 598-4336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary
Pediatric Nutrition Registered Dietitian 133VN1004X NU

Addresses

Primary practice location

2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079

Mailing address

2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079
Phone (410) 598-4336

Other practice location 1

5216 Chairmans Ct Ste 104
Frederick, MD 21703-2858
Phone (410) 598-4336

National Provider Directory

National Provider Directory
Tax ID family
Back 2 Basics Nutrition LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1790420370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LIBERTY RD STE 103",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845079",
            "telephone_number": "410-598-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 LIBERTY RD STE 103",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845079",
            "telephone_number": "410-598-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 Chairmans Ct Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032858",
            "country_code": "US",
            "telephone_number": "410-598-4336",
            "fax_number": "443-280-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK 2 BASICS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "GILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-598-4336",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

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