Active NPI
Nutribridge LLC
- Registered Dietitian
- Hartford, CT
National Provider Identifier
1467910638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRIBRIDGE LLC
- Practice address
- 645 Farmington Ave
Hartford, CT 06105-2907 - Phone
- (860) 716-0358
- NPI assigned
- Mar 6, 2019
- Last updated
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridget Anne Sutherland, RDN
- Title
- Member
- Phone
- (860) 716-0358
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
645 Farmington Ave
Hartford, CT 06105-2907
Mailing address
158 Blue Ridge Dr
Vernon, CT 06066-5835
Phone (860) 716-0358
Other practice location 1
1740 Ellington Rd
South Windsor, CT 06074-2768
Phone (860) 716-0358
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1467910638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 BLUE RIDGE DR",
"city": "VERNON",
"state": "CT",
"postal_code": "060665835",
"telephone_number": "860-716-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052907",
"telephone_number": "860-716-0358"
}
],
"practiceLocations": [
{
"address_1": "1740 Ellington Rd",
"address_purpose": "LOCATION",
"city": "South Windsor",
"state": "CT",
"postal_code": "060742768",
"country_code": "US",
"telephone_number": "860-716-0358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NUTRIBRIDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-06",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "BRIDGET",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "860-716-0358",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.