Balanced Idaho LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BALANCED IDAHO LLC

Practice address

2176 E Franklin Rd Ste 100
Meridian, ID 83642-8009

Phone

(208) 789-3625

Fax

(866) 435-6256

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn McIntyre, FNPNPI 1316647381

Title

Owner

Phone

(951) 970-5773

Specialties & licenses 1

Addresses

Locations

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.

• Jennifer Lynn McIntyre, APRN, FNP-C

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1316647381
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1942082730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 E FRANKLIN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428009",
            "telephone_number": "208-789-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 E FRANKLIN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428009",
            "telephone_number": "208-789-3625",
            "fax_number": "866-435-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-970-5773",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Baker
• Michael Anthony Baker, PHARMD, CERT. IMM.
• Steven Bradley Baker, D.C.
• Balance Psychological Associates, PLLC (Balance Associates, PLLC)
• Balanced Body Chiropractic LLC
• Balanced Life Chiropractic (Evergreen Wellness Studios)
• Jessica Balcazar
• Danielle Rae Baldwin, FNP
• Hayden Baldwin, PT
• Miranda Ballard, PT, DPT

• Multi-Specialty Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Multi-Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.