BACK 2 BASICS NUTRITION LLC NPI 1922693423

NPI Information

  • NPI: 1922693423
  • Provider Name: BACK 2 BASICS NUTRITION LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 5216 CHAIRMANS CT STE 104
    FREDERICK, MD
    ZIP 21703
  • Phone: (410) 598-4336

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NPI Details

BACK 2 BASICS NUTRITION LLC is a pediatrics in Frederick, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BACK 2 BASICS NUTRITION LLC NPI is 1922693423. The provider is registered as an organization entity type and is a multi-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 Gill 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 3/5/2021 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2101YM0800XCounselorMental HealthNo
3225X00000XOccupational TherapistNo
4208000000XPediatricsYes

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: 11/21/2025

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