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

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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