BALANCED BITES NUTRITION LLC
NPI 1114709573
Dietitian, Registered - Nutrition, Obesity and Weight Management in Eagle, ID

Q: What is Balanced Bites Nutrition LLC's NPI number?

The NPI number for Balanced Bites Nutrition LLC is 1114709573. It was assigned to this organization in the NPPES registry on October 19, 2023.

Q: What is Balanced Bites Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Active since October 19, 2023

408 S EAGLE RD STE 205, EAGLE, ID 83616(208) 954-0862(208) 668-8871 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Oct 19, 2023 (2 updates tracked since 2023).

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About Balanced Bites Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCED BITES NUTRITION LLC (NPI 1114709573) is a healthcare organization registered as a nutrition, obesity and weight management in Eagle, Idaho and active in the NPI registry since October 2023. The organization lists Tracy Bento, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1114709573

Entity TypeOrganization

Primary Taxonomy133VN1201X

Legal Business NameBALANCED BITES NUTRITION LLC

Location Address408 S EAGLE RD STE 205Eagle, ID 83616-6079

Mailing Address408 S Eagle Rd Ste 205Eagle, ID 83616-6079 · (208) 954-0862 · Fax (208) 668-8871

Phone(208) 954-0862

Fax(208) 668-8871

Organization SubpartNo

Authorized OfficialTracy BentoRegistered Dietitian · (208) 954-0862

Enumeration DateOctober 19, 2023

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1114709573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers

Taxonomy Code133VN1201X

Definition

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 nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

408 S EAGLE RD STE 205, Eagle, ID 83616

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balanced Bites Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Balanced Bites Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracy Bento, RD, CDCES, CSOWM

Registered Dietitian or Nutrition Professional

NPI 1134284045

803 S SHORT LN
Eagle, ID 83616

(208) 954-0862

5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balanced Bites Nutrition LLC's NPI number?

The NPI number for Balanced Bites Nutrition LLC is 1114709573. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Balanced Bites Nutrition LLC located?

Balanced Bites Nutrition LLC is located at 408 S Eagle Rd Ste 205, Eagle, ID 83616. The listed phone number is (208) 954-0862.

What is Balanced Bites Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Balanced Bites Nutrition LLC enrolled in Medicare?

Yes. Balanced Bites Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Balanced Bites Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Balanced Bites Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Balanced Bites Nutrition LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.