Organization Active NPI

Balanced Wellness Alternatives LLC

Doing business as Balanced Wellness Alternatives

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1922847284
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BALANCED WELLNESS ALTERNATIVES LLC
Doing business as
Balanced Wellness Alternatives
Practice address
121 Chestnut St
Mandeville, LA 70471-3001
Phone
(985) 570-4887
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Jennifer May CantrellNPI 1528434081
Title
Owner
Phone
(985) 570-4887

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
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

121 Chestnut St
Mandeville, LA 70471-3001

Mailing address

121 Chestnut St
Mandeville, LA 70471-3001

Other names 1

  • Balanced Wellness Alternatives Doing business as

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, 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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1922847284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHESTNUT ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHESTNUT ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713001",
            "telephone_number": "985-570-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED WELLNESS ALTERNATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-570-4887"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Wellness Alternatives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.