Jessica F Roberge, RD
Dietitian, Registered in Portsmouth, New Hampshire
1114510807- Practice location
- 67 Corporate Dr Ste 300, Portsmouth, NH 03801-2847
- Phone
- 603-610-8079
- Fax
- 603-868-8375
- Last updated
- December 13, 2022
Jessica Favazza Roberge is a Dietitian, Registered based in Portsmouth, NH. Jessica Favazza Roberge practices in Portsmouth, NH and has the professional credentials of RD. The NPI Number for Jessica Favazza Roberge is 1114510807 and holds a License No. 1052 (NH). The current practice location address for Jessica Favazza Roberge is 67 Corporate Dr Ste 300, Portsmouth, NH 03801-2847 and can be reached out via phone at 603-610-8079 and via fax at 603-868-8375.
Provider Profile Details
- NPI Number
- 1114510807
- Provider Name
- Jessica Favazza Roberge
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 Corporate Dr Ste 300, Portsmouth, NH 03801-2847
- Phone Number
- 603-610-8079
- Fax Number
- 603-868-8375
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Other Names
- Jessica Grace Favazza, RD (Former Name)
- Provider Enumeration Date
- February 15, 2021
- Last Update Date
- December 13, 2022
- Certification Date
- December 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Corporate Dr Ste 300
Portsmouth, NH 03801-2847 - City
- Portsmouth
- State
- New Hampshire
- Zip
- 03801-2847
- Phone Number
- 603-610-8079
- Fax Number
- 603-868-8375
Provider Business Mailing Address Details
- Address
- Po Box 412503
Boston, MA 02241-2503 - City
- Boston
- State
- MA
- Zip
- 02241-2503
- Phone Number
- 603-610-8079
License Information
- License Number (1)
- 1052
- License State (1)
- NH
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Obesity and Weight Management · 133VN1201X
- License Number (2)
- 1052
- License State (2)
- NH
- Taxonomy (2)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica F Roberge, RD?
The NPI number of Jessica F Roberge, RD is 1114510807. It was assigned on February 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Jessica F Roberge, RD?
Jessica F Roberge, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NH under license number 1052.
Where does Jessica F Roberge, RD practice?
The practice location is 67 Corporate Dr Ste 300, Portsmouth, NH 03801-2847. The office can be reached at 603-610-8079 (phone) or 603-868-8375 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114510807 directly on the NPPES registry website.