NPIMap

Organization Active NPI

Enviro-Balance Nutrition,LLC

  • Registered Dietitian
  • Russell, PA
National Provider Identifier
1982074761
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004842 Issued in PA
Legal business name
ENVIRO-BALANCE NUTRITION,LLC
Practice address
716 S Main St
Russell, PA 16345-1154
Phone
(814) 706-8518
NPI assigned
Oct 6, 2015
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Mrs. Pamela English, RDN, LDNNPI 1891190237
Title
Owner
Phone
(814) 706-8518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DN004842 PA
Registered Dietitian 133V00000X DN004842 PA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X DN004842 PA
Renal Nutrition Registered Dietitian 133VN1005X DN004842 PA
Metabolic Nutrition Registered Dietitian 133VN1006X DN004842 PA

Addresses

Primary practice location

716 S Main St
Russell, PA 16345-1154

Mailing address

716 S Main St
Russell, PA 16345-1154
Phone (814) 706-8518

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1982074761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S MAIN ST",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163451154",
            "telephone_number": "814-706-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S MAIN ST",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163451154",
            "telephone_number": "814-706-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIRO-BALANCE NUTRITION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-706-8518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN004842",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004842",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "PA",
            "license": "DN004842",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "PA",
            "license": "DN004842",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN004842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, PA

Sources for this page

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