NPI 1609574466 · live from the CMS NPI Registry
Balance Dietitian
Dietitian, Registered in Nantucket, MA. National Provider Identifier 1609574466, active.
NPI record
| NPI | 1609574466 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 33 Pleasant St, Nantucket, MA 02554 |
| Practice phone | 508-274-6213 |
| Mailing address | 61 Old South Rd Ste 244, Nantucket, MA 02554 |
| Enumerated | February 21, 2023 |
| Last updated | February 24, 2023 |
| Authorized official | Zahra Kasza, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | — |
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | — |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | — |
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | — |
| Dietitian, Registered, Nutrition, Sports Dietetics | 133VN1501X | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.