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NPISignal

Individual Healthcare Provider

Sean Gorey, CNS, CDN

NPI Record: ActiveNutritionist — Nutrition, Education
NPI1144055351
Canton, Connecticut

Provider's NPPES record last updated: September 6, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1144055351
Primary Specialty
Nutritionist — Nutrition, Education
Practice Location
Canton, Connecticut
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nutritionist

    Nutrition, Education

    Dietary & Nutritional Service Providers

    Primary

    Definition to come...

    Taxonomy code 133NN1002X
  • Nutritionist

    Dietary & Nutritional Service Providers

    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

    Taxonomy code 133N00000X
  • Dietitian, Registered

    Nutrition, Obesity and Weight Management

    Dietary & Nutritional Service Providers

    An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

    Taxonomy code 133VN1201X

Provider-Reported License Information

Nutritionist (Connecticut)
002665
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

110 Albany Tpke Ste 927

Canton, Connecticut 06019-2552

Phone: (860) 507-7365

Additional Practice Location

465 Buckland Hills Dr Apt 34422

Manchester, Connecticut 06042-9107

Phone: (203) 461-1764

Record Information

Enumeration Date
September 6, 2024
Provider's NPPES Record Last Updated
September 6, 2024
Certification Date
September 6, 2024
NPISignal NPPES Dataset
August 2026

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