Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fabiana Soares

Individual provider Registered Dietitian · NPI 1790647501

Fabiana Soares is a Registered Dietitian OR Nutrition Professional in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Practices with Optimus Health Care Inc, a 77-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2025
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Practice location Address checks out

975 E Main St
Bridgeport, CT 06608-1914
Phone: (203) 371-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 002048 (CT)

Record details

NPI number1790647501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address975 E Main St, Bridgeport, CT 06608-1914

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optimus Health Care Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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