JESSICA FAVAZZA ROBERGE RD
NPI 1114510807
Dietitian, Registered in Portsmouth, NH

Q: What is Jessica Roberge's NPI number?

The NPI number for Jessica Roberge is 1114510807. It was assigned to this individual provider in the NPPES registry on February 15, 2021. The provider is also known as Jessica Grace Favazza Rd.

Q: What is Jessica Roberge's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Roberge was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2021

67 CORPORATE DR STE 300, PORTSMOUTH, NH 03801(603) 610-8079(603) 868-8375 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Feb 15, 2021 (2 updates tracked since 2021).

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About Jessica Favazza Roberge Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA FAVAZZA ROBERGE RD (NPI 1114510807) is an individual dietitian, registered in Portsmouth, New Hampshire, licensed in New Hampshire (1052) and active in the NPI registry since February 2021. She maintains a secondary practice location in Laconia.

NPPES Registry Identity

NPI1114510807

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJESSICA FAVAZZA ROBERGECredential: RD

Location Address67 CORPORATE DR STE 300Portsmouth, NH 03801-2847

Mailing AddressPo Box 412503Boston, MA 02241-2503 · (603) 610-8079

Phone(603) 610-8079

Fax(603) 868-8375

Sole ProprietorYes

Enumeration DateFebruary 15, 2021

Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1114510807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NH · 1052

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License 1052 (NH)

67 CORPORATE DR STE 300, Portsmouth, NH 03801

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Other Names 1

Former Name (1)Jessica Grace Favazza Rd

Secondary Practice Location 1

Location 1276 Mechanic StLaconia, NH 03246-2539 · Phone (603) 770-6564

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENTWORTH DOUGLASS HOSPITAL

General Acute Care Hospital