WELL BALANCED NUTRITION, LLC (NPI# 1578927299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578927299 |
| Entity Type | Organization |
| Organization Name | WELL BALANCED NUTRITION, LLC |
| Practice Address |
2544 Burton Rd Durham NC 27704-3809 |
| Practice Telephone | 9194912004 |
| Mailing Telephone | 9194912004 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | LUCY A HAYHURST (CEO) |
| Authorized Official Telephone | 9194912004 |
| Authorized Official Credential | RDN, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | L003447 | NC | Dietary & Nutritional Service Providers |
| N | 133N00000X | Nutritionist | L003670 | NC | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | L003670 | NC | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | L003447 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 19DNY0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922545953 | Well Balanced Nutrition, LLC | Clinic/Center | 7 Gulf Rd, East Brunswick, NJ 08816-1362 | 2017-01-29 |
| Street Address |
2544 BURTON RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382010 | Catherine Suzanne Rudolph | Dietitian, Registered | 845 Ivy Meadow Ln Apt 3b, Durham, NC 27707-5905 | 2020-09-29 |
| 1477171601 | Julie Stoops | Dietitian, Registered | 40 Duke Medicine Cir Bsmt Level015, Durham, NC 27710-4000 | 2020-07-14 |
| 1437775756 | Ann Margaret Shelton | Dietitian, Registered | 40 Medicine Circle Drive 2j Clinic, Durham, NC 27710-0001 | 2020-06-23 |
| 1467077826 | Ella Lundquist | Dietitian, Registered | Dumc 3655, Durham, NC 27710-0001 | 2020-06-11 |
| 1528683174 | Laura Elizabeth Niederer | Dietitian, Registered | 40 Duke Medicine Cir # 2j, Durham, NC 27710-4000 | 2020-06-10 |
| 1144845967 | Charlotte Walker | Dietitian, Registered | 35 Cedar Point Rd, Durham, NH 03824-3306 | 2020-06-09 |
| 1851927917 | Asta Feng | Dietitian, Registered | 130 Lochridge Dr, Durham, NC 27713-9139 | 2020-03-20 |
| 1649819707 | Cherie Nichol Barnes | Dietitian, Registered | 3508 Golden Heather Dr, Durham, NC 27712-3148 | 2020-01-06 |
| 1265081400 | Logan Pace | Dietitian, Registered | 1415 Broad St, Durham, NC 27705-3534 | 2019-09-10 |
| 1780239400 | Elizabeth Barnes | Dietitian, Registered | 6015 Fayetteville Rd Ste 116, Durham, NC 27713-6254 | 2019-08-08 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.