Thrive Nutrition of CT, LLC
NPI 1720449184ActiveOrganization· Dietitian, Registered· Ridgefield, CT
Dietitian, Registered in Ridgefield, Connecticut, registered in NPPES in March 2016, part of 199 Office Space, LLC. The authorized official on file is Rena A. Bruckman, MS, RD, Nutritionist.
Overview
| NPI | 1720449184 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 199 Office Space, LLC |
| NPI issued | Mar 14, 2016 |
| Last updated in NPPES | Mar 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 001294 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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