Victoria A Fabbo, MPH, RD,LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4966771065 Issued in MA

Practice address

4 Winship Dr
Wakefield, MA 01880-2664

Phone

(617) 851-1062

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tag Virtual Wellness LLC

  • Registered Dietitian
  • Hampton, NH
  • NPI 1760099360

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1922607738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINSHIP DR",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802664",
            "telephone_number": "617-851-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WINSHIP DR",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802664",
            "telephone_number": "617-851-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABBO",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MPH, RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4966771065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA RD LICENSE",
            "identifier": "4966771065",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vfabbo2012@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gmail",
            "address_1": "4 Winship Dr",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018802664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Zieff, Psy.D. LLC
• Erin Cronan Lasker Licsw LLC
• Peta-Gaye Escoffery
• Sheelove Estime
• C. Douglas Evans, MD
• Steven Alexander Falk, M.A.
• Family Acupuncture and Herbs of Reading LLC
• Maryama Farah
• Andrea Farber, O.D.
• Ammar F Farra, DMD PC

• Registered Dietitian in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.