BORDEAUX NUTRITION LLC
NPI 1720453814
Dietitian, Registered in Newington, CT

NPI Status: Active since December 01, 2015

Contact Information

66 CEDAR ST
305
NEWINGTON, CT
ZIP 06111
Phone: (860) 523-0141
Fax: (860) 523-0141

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  • Organization
  • Dietitian, Registered

About BORDEAUX NUTRITION LLC

This page provides the complete NPI Profile along with additional information for Bordeaux Nutrition Llc, a provider established in Newington, Connecticut operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1720453814 assigned on December 2015. The practitioner's primary taxonomy code is 133V00000X with license number 000472 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Renee J Bordeaux Rd, Cdn, Cpt (Owner)

NPI
1720453814
Provider Name
BORDEAUX NUTRITION LLC
Entity Type
Organization
Location Address
66 CEDAR ST 305 NEWINGTON, CT 06111
Location Phone
(860) 523-0141
Location Fax
(860) 523-0141
Mailing Address
66 CEDAR ST SUITE 305 NEWINGTON, CT 06111
Mailing Phone
(860) 523-0141
Mailing Fax
(860) 523-0141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2015
Last Update Date
12-04-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
000472
License State
CT
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RENEE J BORDEAUX RD, CDN, CPT

Authorized Official Title
OWNER
Authorized Official Phone
(860) 978-9449

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3199218OTHER (01)CTUNITED HEALTHCARE
695189OTHER (01)CTCONNECTICARE INC.
P3946637OTHER (01)CTOXFORD
7982509OTHER (01)CTAETNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720453814
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274085682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 5 + 6 + 8 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1720453814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

DR. SANJAY PARBATBHAI BAROCHIA M.D.

Internal Medicine

66 CEDAR ST
SUITE 105
NEWINGTON, CT
ZIP 06111

(860) 667-8200

BAROCHIA INTERNAL MEDICINE, LLC

Internal Medicine

66 CEDAR ST
SUITE 105
NEWINGTON, CT
ZIP 06111

(860) 667-8200

RENEE J BORDEAU RD, CDN, CPT

Dietitian, Registered

66 CEDAR ST
STE 305
NEWINGTON, CT
ZIP 06111

(860) 978-9449

TRUTH, LLC

Counselor

(Professional)

66 CEDAR ST
NEWINGTON, CT
ZIP 06111

(860) 938-0037

GABRIELLE MOUZON LMFT

Marriage & Family Therapist

66 CEDAR ST
NEWINGTON, CT
ZIP 06111

(860) 665-0200

A WALK-IN MEDICAL CENTER

Clinic/Center

(Urgent Care)

66 CEDAR ST
STE 100
NEWINGTON, CT
ZIP 06111

(860) 436-3226

AMANDA JEAN HUDICK

Behavior Analyst

66 CEDAR ST
NEWINGTON, CT
ZIP 06111

(877) 222-0399

JORDAN COLLINS

Behavior Analyst

66 CEDAR ST
NEWINGTON, CT
ZIP 06111

(877) 222-0399

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720453814, enumerated as an "organization" on December 01, 2015.

The provider is located at 66 CEDAR ST 305 NEWINGTON, CT 06111 and the phone number is (860) 523-0141.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans and Aetna. Please consult your insurance carrier or call the provider to verify.