Balanced Roots, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BALANCED ROOTS, LLC

Practice address

5199 Spring Ridge Dr E
Macungie, PA 18062-9577

Phone

(610) 739-8440

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Courtney Elizabeth Kassis, MS, RDN, LDN

Title

Registered Dietitian

Phone

(610) 739-8440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1982294781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 SPRING RIDGE DR E",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629577",
            "telephone_number": "610-739-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 SPRING RIDGE DR E",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629577",
            "telephone_number": "610-739-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "610-739-8440",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Macungie, PA
• Providers in Macungie, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.