Individual provider Active NPI

Sylvia Marie Gaboriault, RD

  • Nutrition Education Nutritionist
  • Montpelier, VT
National Provider Identifier
1831210574
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
074-0000060 Issued in VT
Practice address
141 Main St Ste 1
Montpelier, VT 05602
Phone
(802) 249-1218
Fax
(802) 249-1218
NPI assigned
Apr 2, 2007
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 074-0000060 VT Primary

Addresses

Primary practice location

141 Main St Ste 1
Montpelier, VT 05602

Mailing address

141 Main St Ste 1
Montpelier, VT 05602-2916
Phone (802) 249-1218

Other identifiers 2

IdentifierTypeStateIssuer
28596OtherVTBCBS PROVIDER NUMBER
1022360MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074-0000060VTMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Washington County Community Health, Inc. CurrentSince Jan 8, 2022 Accepting new patients
Northeast Washington County Community Health Inc CurrentSince Jan 8, 2022 Accepting new patients
Sylvia Gaboriault Wellness Services LLC Past Accepting new patients

Locations

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

Organizations & group practices 3

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1831210574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN ST STE 1",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022916",
            "telephone_number": "802-249-1218",
            "fax_number": "802-249-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN ST STE 1",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-249-1218",
            "fax_number": "802-249-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABORIAULT",
        "first_name": "SYLVIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "VT",
            "license": "074-0000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "28596",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022360",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.