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REFORMED NUTRITION LLC
NPI 1629614953
Dietitian, Registered in Canton, CT

Active since November 21, 2019
220 ALBANY TURNPIKE, UNIT 1, CANTON, CT 06019(860) 299-6000 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Reformed Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REFORMED NUTRITION LLC (NPI 1629614953) is a healthcare organization registered as a dietitian, registered in Canton, Connecticut and active in the NPI registry since November 2019. The organization lists Hunter Bahre, Owner, as its authorized official.

NPPES Registry Identity

NPI1629614953
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameREFORMED NUTRITION LLC
Location Address220 ALBANY TURNPIKE, UNIT 1Canton, CT 06019
Mailing Address222 Main St Ste 276Farmington, CT 06032-3623 · (860) 299-6000
Phone(860) 299-6000
Organization SubpartNo
Authorized OfficialHunter BahreOwner · (860) 299-6000
Enumeration DateNovember 21, 2019
✔ NPI 1629614953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
220 ALBANY TURNPIKE, Canton, CT 06019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reformed Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reformed Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hunter Bahre, RD
Registered Dietitian or Nutrition Professional
NPI 1710459227
220 ALBANY TPKE UNIT 1
Canton, CT 06019
(860) 299-6000
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reformed Nutrition LLC's NPI number?

The NPI number for Reformed Nutrition LLC is 1629614953. It was assigned to this organization in the NPPES registry on November 21, 2019.

Where is Reformed Nutrition LLC located?

Reformed Nutrition LLC is located at 220 Albany Turnpike Unit 1, Canton, CT 06019. The listed phone number is (860) 299-6000.

What is Reformed Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Reformed Nutrition LLC enrolled in Medicare?

Yes. Reformed Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reformed Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Reformed Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reformed Nutrition LLC was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.