Active NPI
Bridget Anne Sutherland, RD
- Registered Dietitian
- Hartford, CT
National Provider Identifier
1639636525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 897317
- Practice address
- 645 Farmington Ave
Hartford, CT 06105-2907 - Phone
- (860) 716-0358
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 897317 | CT | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897317 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutribridge LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
645 Farmington Ave
Hartford, CT 06105
Phone (860) 523-9788
1740 Ellington Rd
South Windsor, CT 06074
Phone (860) 644-2486
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1639636525",
"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": {
"last_name": "SUTHERLAND",
"first_name": "BRIDGET",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "897317",
"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.