NPI 1649113994 · live from the CMS NPI Registry
Balanced Roots Nutrition LLC
Dietitian, Registered in Warwick, RI. National Provider Identifier 1649113994, active.
NPI record
| NPI | 1649113994 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1177 Greenwich Ave, Warwick, RI 02886 |
| Practice phone | 401-678-6762 |
| Mailing address | 177 Elmdale Rd, Scituate, RI 02857 |
| Enumerated | April 13, 2026 |
| Last updated | April 13, 2026 |
| Authorized official | Eliza Deangelis, Registered Dietitian / Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.