Individual provider Active NPI

Viviane Maria Fornasaro-Donahue, MS, RD

  • Registered Dietitian
  • Brighton, MA
National Provider Identifier
1841677291
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00992 Issued in RI
Practice address
736 Cambridge St Ste 8025
Brighton, MA 02135-2907
Phone
(617) 779-6034
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00992 RI Primary

Addresses

Primary practice location

736 Cambridge St Ste 8025
Brighton, MA 02135-2907

Mailing address

32 Olde Tower LN
North Attleboro, MA 02760-3955
Phone (617) 388-5307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151117002834 MA Practitioner - Registered Dietitian Or Nutrition Professional 5799095089 Reassigns benefits to 5 organizations
I20191001000954 RI Practitioner - Registered Dietitian Or Nutrition Professional 5799095089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Staniford St
Boston, MA 02114-2511
Phone (617) 643-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN00992RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Nov 1, 2019 Accepting new patients
The Miriam Hospital CurrentSince Oct 30, 2023 Accepting new patients
Lifespan Physician Group, Inc. Dietitian, Registered CurrentSince Nov 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 2, 2015 Accepting new patients
The Miriam Hospital CurrentSince Oct 30, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 2, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 30, 2016 Accepting new patients

Locations

736 Cambridge St
Ste 8025
Brighton, MA 02135
Phone (617) 779-6034

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

21 Bristol Dr
Ste 102
South Easton, MA 02375
Phone (508) 565-7200

21 Bristol Dr
Ste 100
South Easton, MA 02375
Phone (508) 565-7100

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

148 W River St
Ste 8
Providence, RI 02904
Phone (401) 606-3000

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1841677291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OLDE TOWER LN",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027603955",
            "telephone_number": "617-388-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST STE 8025",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-779-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNASARO-DONAHUE",
        "first_name": "VIVIANE",
        "middle_name": "MARIA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.