Active NPI
Victoria Lynne Overko, MS, RDN, LDN
- Registered Dietitian
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1531
- Practice address
- 6 Tsienneto Rd Ste 100
Derry, NH 03038-1595 - Phone
- (603) 537-1300
- NPI assigned
- Nov 6, 2023
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1531 | NH | Primary |
Addresses
Primary practice location
6 Tsienneto Rd Ste 100
Derry, NH 03038-1595
Mailing address
14B Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 537-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1531 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Medical Center, PA | Dietitian, Registered | Current | Accepting new patients |
Locations
160 S River Rd
Bedford, NH 03110
Phone 6037425556107
14 Tsienneto Rd
Bldg B
Derry, NH 03038
14B Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1317
6 Tsienneto Rd
Ste 100
Derry, NH 03038
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1659144269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14B TSIENNETO RD",
"city": "DERRY",
"state": "NH",
"postal_code": "030381505",
"telephone_number": "603-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD STE 100",
"city": "DERRY",
"state": "NH",
"postal_code": "030381595",
"telephone_number": "603-537-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERKO",
"first_name": "VICTORIA",
"middle_name": "LYNNE",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.