Active NPI
Victoria Marie Graziano
- Prosthetic/Orthotic Supplier
- Virginia Beach, VA
National Provider Identifier
1417130055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- VICTORIA MARIE GRAZIANO
- Practice address
- 228 N Lynnhaven Rd Ste 115
Virginia Beach, VA 23452-7514 - Phone
- (757) 536-2741
- Fax
- (757) 210-9941
- NPI assigned
- Dec 5, 2007
- Last updated
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Marie Graziano
- Title
- Owner
- Phone
- (757) 536-2741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
228 N Lynnhaven Rd Ste 115
Virginia Beach, VA 23452-7514
Mailing address
228 N Lynnhaven Rd Ste 115
Virginia Beach, VA 23452-7514
Phone (757) 536-2741
Other names 2
- VICKIS MASTECTOMY BOUTIQUE
- Vicki's Mastectomy Boutique
National Provider Directory
National Provider DirectoryLocations
277 N Lynnhaven Rd
Ste 108
Virginia Beach, VA 23452
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Virginia Beach, VA
- NPI 1073673331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1417130055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 N LYNNHAVEN RD STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527514",
"telephone_number": "757-536-2741",
"fax_number": "757-210-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 N LYNNHAVEN RD STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527514",
"telephone_number": "757-536-2741",
"fax_number": "757-210-9941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA MARIE GRAZIANO",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRAZIANO",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-536-2741"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VICKIS MASTECTOMY BOUTIQUE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "VICKIS MASTECTOMY BOUTIQUE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Vicki's Mastectomy Boutique",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.