Organization Active NPI

Nutribridge LLC

  • Registered Dietitian
  • Hartford, CT
National Provider Identifier
1467910638
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bridget Anne Sutherland, RDNNPI 1639636525
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.