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NPI 1114709573
● Active Type 2 · Organization
Balanced Bites Nutrition Llc
Dietitian, Registered · Eagle, ID · NPI 1114709573
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Enumerated 2023 · 2 years on NPI
Balanced Bites Nutrition Llc is 1 of 8 dietitian, registered organizations in Idaho.
NPI age
2 years
Enumerated 2023-10-19
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bento
Registered Dietitian
Last NPPES update
2024-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 8 active dietitian, registered providers in Idaho.
NPI age
2 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2023 → 2026
2023-10 Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
408 S Eagle Rd Ste 205
Eagle, ID 836166079
📞 2089540862 fax 2086688871
Mailing address
408 S Eagle Rd Ste 205
Eagle, ID 836166079
📞 2089540862 fax 2086688871
Authorized official
Tracy Bento, RD, CDCES, CSOWM
Registered Dietitian
📞 2089540862
Individual providers at this organization
6 individual providers on file at this primary practice address.
Specialties
Dietitian, Registered
Primary
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of...
taxonomy 133VN1201X
Practice context
Multi-provider organization.
6 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.