BALANCE NUTRITION WITH ANDI LLC — NPI 1306621032 (Licensed & Credentialed Nutritionist in ANTHEM, AZ)

CMS-1500 Box 24J / 33a • NPI

1306621032

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

133N00000X

Licensed & Credentialed Nutritionist

Box 32 Service Location & ZIP+4

41810 N VENTURE DR UNIT C122, ANTHEM, AZ, 85086-3172

✓ 9-Digit EDI 837 ZIP+4 (85086-3172)

Practice Phone & Referral Fax

(623) 688-1498

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306621032 (BALANCE NUTRITION WITH ANDI LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306621032` (NPI-2 Organization / Facility)
Provider / Legal Name	BALANCE NUTRITION WITH ANDI LLC
Plain-English Specialty	Licensed & Credentialed Nutritionist NUCC Code: `133N00000X` (Nutritionist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	41810 N VENTURE DR UNIT C122, ANTHEM, AZ, 85086-3172
Practice Telephone / Fax	Tel: (623) 688-1498
Administrative Mailing Address	41810 N VENTURE DR UNIT C122, ANTHEM, AZ, 85086-3172
Enumeration & Last Sync	Enumerated: 2023-08-30 \| CMS Record Updated: 2024-06-04
Authorized Official	ANDI COFFEE (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

41810 N VENTURE DR UNIT C122, ANTHEM, AZ, 85086-3172

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Plain-English Taxonomy & CMS Crosswalk (133N00000X)

What Does Taxonomy Code 133N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133N00000X translates to:
"Licensed & Credentialed Nutritionist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nutritionist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BALANCE NUTRITION WITH ANDI LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133N00000X` — Nutritionist Plain English: Licensed & Credentialed Nutritionist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BALANCE NUTRITION WITH ANDI LLC (NPI #1306621032)