REFORMED NUTRITION LLC (NPI# 1629614953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629614953 |
| Entity Type | Organization |
| Organization Name | REFORMED NUTRITION LLC |
| Practice Address |
220 Albany Turnpike Unit 1 Canton CT 06019 |
| Mailing Address |
222 Main St Ste 276 Farmington CT 06032-3623 |
| Practice Telephone | 8602996000 |
| Mailing Telephone | 8602996000 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | HUNTER BAHRE (OWNER) |
| Authorized Official Telephone | 8602996000 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
220 ALBANY TURNPIKE UNIT 1 |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| 1497774384 | Jay Tillman | Psychiatry & Neurology | 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019 | 2006-07-19 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884677 | Nicole Bruno | Dietitian, Registered | 175 Albany Dr Nw, Canton, OH 44708-5019 | 2020-09-08 |
| 1942825039 | Stephanie Young | Dietitian, Registered | 332 Mountain Laurel Walk, Canton, GA 30114-5747 | 2020-06-15 |
| 1710459227 | Hunter Bahre | Dietitian, Registered | 220 Albany Tpke Unit 1, Canton, CT 06019-7000 | 2018-12-21 |
| 1760953608 | Ellsworth Smith | Dietitian, Registered | 347 Aultman Ave Nw, Canton, OH 44708-5526 | 2018-12-17 |
| 1144796012 | Jessica Helmick | Dietitian, Registered | 6300 N Haggerty Rd Ste 100, Canton, MI 48187-4472 | 2018-10-18 |
| 1679009583 | Cynthia Erickson | Dietitian, Registered | 44223 Sheridan St, Canton, MI 48187-1925 | 2017-05-11 |
| 1134662232 | Claudia Nouhan | Dietitian, Registered | 4452 Hunters Cir E, Canton, MI 48188-2357 | 2016-11-22 |
| 1134582778 | Nutrition To The Max LLC | Dietitian, Registered | 4639 Timberline Dr, Canton, MI 48188-2210 | 2016-03-31 |
| 1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
| 1811386881 | Heather Fowler | Dietitian, Registered | 4665 Renworth Ave Ne, Canton, OH 44714-1194 | 2015-01-14 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.