Active NPIOrganization

Balanced Roots Nutrition LLC

Dietitian, Registered in Warwick, Rhode Island

NPI Number1649113994
Practice location
1177 Greenwich Ave, Warwick, RI 02886-4523
Fax
—
Last updated
April 13, 2026

Balanced Roots Nutrition LLC is a healthcare organization based in Warwick, RI. Balanced Roots Nutrition LLC practices in Warwick, RI. The NPI Number for Balanced Roots Nutrition LLC is 1649113994. The current practice location address for Balanced Roots Nutrition LLC is 1177 Greenwich Ave, Warwick, RI 02886-4523 and can be reached out via phone at 401-678-6762.

Provider Profile Details

NPI Number
1649113994
Provider Name
Balanced Roots Nutrition LLC
Provider Entity Type
Organization
Address
1177 Greenwich Ave, Warwick, RI 02886-4523
Phone Number
401-678-6762
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Eliza Deangelis, RD · Registered Dietitian / Founder · 401-678-6762
Provider Enumeration Date
April 13, 2026
Last Update Date
April 13, 2026
Certification Date
April 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1177 Greenwich Ave
Warwick, RI 02886-4523
Zip
02886-4523
Phone Number
401-678-6762
Warwick, RI 02886Get directions →

Provider Business Mailing Address Details

Address
177 Elmdale RD
Scituate, RI 02857-1308
City
Scituate
State
RI
Zip
02857-1308

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Balanced Roots Nutrition LLC?

The NPI number of Balanced Roots Nutrition LLC is 1649113994. It was assigned on April 13, 2026 and is currently active in the NPPES registry.

What is the specialty of Balanced Roots Nutrition LLC?

Balanced Roots Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Balanced Roots Nutrition LLC practice?

The practice location is 1177 Greenwich Ave, Warwick, RI 02886-4523. The office can be reached at 401-678-6762 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649113994 directly on the NPPES registry website.

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