Individual provider Active NPI

Bridget Anne Sutherland, RD

  • Registered Dietitian
  • Hartford, CT
National Provider Identifier
1639636525
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
897317 Issued in CT
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

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
897317CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.