NPI 1487377610 · live from the CMS NPI Registry
Julie Balsamo, MS, RDN
Dietitian, Registered in Thayne, WY. National Provider Identifier 1487377610, active.
NPI record
| NPI | 1487377610 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 383 North Main Street Suite 3a, Thayne, WY 83127 |
| Practice phone | 307-368-2562 |
| Mailing address | 102 Us Highway 89, Po Box #4010, Alpine, WY 83128 |
| Enumerated | September 22, 2022 |
| Last updated | March 9, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | 86067740 |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 86067740 |
| Dietitian, Registered primary | 133V00000X | 86067740 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.