Hunter Bahre, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

59.001828 Issued in CT

Practice address

220 Albany Tpke Unit 1
Canton, CT 06019-7000

Phone

(860) 299-6000

Fax

(860) 676-2442

NPI assigned

Dec 21, 2018

Last updated

Nov 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reformed Nutrition LLC

  • Registered Dietitian
  • Canton, CT
  • NPI 1629614953
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1710459227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN ST STE 276",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323623",
            "telephone_number": "860-299-6000",
            "fax_number": "860-676-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALBANY TPKE UNIT 1",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060197000",
            "telephone_number": "860-299-6000",
            "fax_number": "860-676-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRE",
        "first_name": "HUNTER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "59.001828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Frayda Abraham, P.T.
• Richard I Abraham, M.D.
• Nicholas D Albert
• Glen Angers, PT
• Jenna Mimi Atlas, DPT, PT
• Cheryl Ben-David, PT
• Janot Bente, D.M.D.
• Beyond Behavior LLC
• Beyond Rooted LLC
• Christine Biolo

• Registered Dietitian in Canton, CT
• Providers in Canton, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.