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BACK 2 BASICS NUTRITION LLC NPI 1407301542


NPI Information

NPI: 1407301542
Provider Name: BACK 2 BASICS NUTRITION LLC
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
5216 CHAIRMANS CT STE 104
FREDERICK, MD
ZIP 21703
Phone: (410) 598-4336
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BACK 2 BASICS NUTRITION LLC is a nutrition and pediatric dietitian registered in Frederick, MD. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. BACK 2 BASICS NUTRITION LLC NPI is 1407301542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5216 CHAIRMANS CT STE 104
FREDERICK, MD
ZIP 21703-858
Phone: (410) 598-4336
Fax: (443) 280-6441

The provider's authorized official is Lindsey Carter .
The authorized official title is Owner and has the following contact phone number (410) 598-4336.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 7/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredDX3870MARYLANDNo
2133V00000XDietitian, RegisteredNo
3225X00000XOccupational TherapistNo
4225XP0200XOccupational TherapistPediatricsNo
5235Z00000XSpeech-Language PathologistNo
6133VN1004XDietitian, RegisteredNutrition, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.