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

Last updated

Mar 16, 2017By 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

Ms. Niesje Buaas, RD, LD, CDENPI 1639610173

Title

Partner

Phone

(972) 835-5216

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.

• Niesje Buaas, RD, LD, CDE

  • Registered Dietitian
  • McKinney, TX
  • NPI 1639610173
  Authorized official Same address or phone

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
• Sa Phuong Huynh, FNP
• Chori Huyser, RBT
• Trent Philip Hyatt, DPT
• Iam Capital Group LLC (121 Community Services)
• Nanette Ariayefah Icho, M.D.
• Ideal Smiles of McKinney PLLC
• Peter Idolo, CRNA
• Yvonne Ifejika
• Amna 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.