Active NPI
Sylvia Marie Gaboriault, RD
- Nutrition Education Nutritionist
- Montpelier, VT
National Provider Identifier
1831210574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 074-0000060
- 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, 2018
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28596 | Other | VT | BCBS PROVIDER NUMBER |
| 1022360 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 074-0000060 | VT | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Washington County Community Health, Inc. | Current | Accepting new patients | |
| Northeast Washington County Community Health Inc | Current | 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.
-
- Registered Dietitian
- Montpelier, VT
- NPI 1760817969
-
- Federally Qualified Health Center (FQHC)
- Cabot, VT
- NPI 1902008485
-
dba The Health Center
- Federally Qualified Health Center (FQHC)
- Plainfield, VT
- NPI 1699755348
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.