BACK 2 BASICS NUTRITION LLC
NPI 1407301542
Dietitian, Registered - Nutrition, Pediatric in Frederick, MD

Q: What is Back 2 Basics Nutrition LLC's NPI number?

The NPI number for Back 2 Basics Nutrition LLC is 1407301542. It was assigned to this organization in the NPPES registry on August 18, 2016.

Q: What is Back 2 Basics Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Active since August 18, 2016

5216 CHAIRMANS CT STE 104, FREDERICK, MD 21703(410) 598-4336(443) 280-6441 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Oct 28, 2020, Aug 18, 2016 (3 updates tracked since 2016).

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About Back 2 Basics Nutrition Llc NPPES

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

BACK 2 BASICS NUTRITION LLC (NPI 1407301542) is a healthcare organization registered as a nutrition, pediatric in Frederick, Maryland and active in the NPI registry since August 2016. The organization maintains a secondary practice location in Middletown and lists Lindsey Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1407301542

Entity TypeOrganization

Primary Taxonomy133VN1004X

Legal Business NameBACK 2 BASICS NUTRITION LLC

Location Address5216 CHAIRMANS CT STE 104Frederick, MD 21703-2858

Mailing Address2028 Liberty Rd Ste 103Eldersburg, MD 21784-5079 · (410) 598-4336 · Fax (443) 280-6441

Phone(410) 598-4336

Fax(443) 280-6441

Organization SubpartNo

Authorized OfficialLindsey CarterOwner · (410) 598-4336

Enumeration DateAugust 18, 2016

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1407301542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

Definition

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.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DX3870 (MD)

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

5216 CHAIRMANS CT STE 104, Frederick, MD 21703

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Secondary Practice Location 1

Location 117 W Main St, Suite BMiddletown, MD 21769-8080 · Phone (410) 598-4336 · Fax (443) 280-6441

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN ALEXANDER M.S. CCC-SLP

Speech-Language Pathologist