Active NPI
Life in Balance Nutrition LLC
- Registered Dietitian
- Occoquan, VA
National Provider Identifier
1932056983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIFE IN BALANCE NUTRITION LLC
- Practice address
- 407 Fortress Way
Occoquan, VA 22125-7700 - Phone
- (571) 348-4220
- NPI assigned
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel B Johnson, CNS/LDN
- Title
- Certified Nutrition Specialist
- Phone
- (571) 221-2156
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
407 Fortress Way
Occoquan, VA 22125-7700
Mailing address
PO Box 88
Occoquan, VA 22125-0088
National Provider Directory
National Provider DirectoryPractitioners & 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": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1932056983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221250088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 FORTRESS WAY",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221257700",
"telephone_number": "571-348-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE IN BALANCE NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CERTIFIED NUTRITION SPECIALIST",
"authorized_official_telephone_number": "571-221-2156",
"authorized_official_credential": "CNS/LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Occoquan, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.