Organization Active NPI

Victoria Marie Graziano

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
National Provider Identifier
1417130055
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Marie GrazianoNPI 1073673331
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)CodeLicenseStatePrimary
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 Other name
  • Vicki's Mastectomy Boutique Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.