Ibalance Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IBALANCE WELLNESS LLC

Practice address

5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238

Phone

(972) 835-5216

Fax

(972) 727-9238

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Niesje Buaas, RD, LD, CDE

Title

Partner

Phone

(972) 835-5216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1962801696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702238",
            "telephone_number": "972-835-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702238",
            "telephone_number": "972-835-5216",
            "fax_number": "972-727-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBALANCE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "BUAAS",
        "authorized_official_first_name": "NIESJE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-835-5216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Hutto II, LAT
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• Trent Philip Hyatt, DPT
• Iam Capital Group LLC
• Nanette Ariayefah Icho, M.D.
• Ideal Smiles of McKinney PLLC
• Peter Idolo, CRNA
• Amna Iftikhar, M.D.
• Faizan Iftikhar, M.D.

• Registered Dietitian in McKinney, TX
• Providers in McKinney, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.