The authors present the results of a neighborhood-scaled exploratory study that tests the association of the food environment and the built environment with women’s body mass index (BMI) in Erie County, New York. The proximity of women’s homes to a supermarket relative to a convenience store is associated with lower BMI. A diverse land use mix in a neighborhood is positively associated with women’s BMI, especially when restaurants dominate nonresidential land use. The article offers suggestions for how food environments may be improved using planning strategies.