Active NPIIndividual providerSole proprietor

Ellen Bridgman, RDN, CDN

Dietitian, Registered in Waterbury, Connecticut

NPI Number1144826082
Practice location
64 Robbins St, Waterbury, CT 06708-2600
Fax
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Last updated
December 7, 2020

Ellen Bridgman is a Dietitian, Registered based in Waterbury, CT. Ellen Bridgman practices in Waterbury, CT and has the professional credentials of RDN, CDN. The NPI Number for Ellen Bridgman is 1144826082 and holds a License No. 86085958 (CT). The current practice location address for Ellen Bridgman is 64 Robbins St, Waterbury, CT 06708-2600 and can be reached out via phone at 203-573-7566.

Provider Profile Details

NPI Number
1144826082
Provider Name
Ellen Bridgman
Credential
RDN, CDN
Provider Entity Type
Individual
Gender
Female
Address
64 Robbins St, Waterbury, CT 06708-2600
Phone Number
203-573-7566
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2020
Last Update Date
December 7, 2020
Certification Date
December 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Robbins St
Waterbury, CT 06708-2600
Zip
06708-2600
Phone Number
203-573-7566
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
195 Oxford St
Hartford, CT 06105-2520
City
Hartford
State
CT
Zip
06105-2520
Phone Number
860-306-8317

License Information

License Number
86085958
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen Bridgman, RDN, CDN?

The NPI number of Ellen Bridgman, RDN, CDN is 1144826082. It was assigned on December 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Ellen Bridgman, RDN, CDN?

Ellen Bridgman, RDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 86085958.

Where does Ellen Bridgman, RDN, CDN practice?

The practice location is 64 Robbins St, Waterbury, CT 06708-2600. The office can be reached at 203-573-7566 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144826082 directly on the NPPES registry website.

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