Grace Gardener, MDA, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

078676 Issued in IA

Practice address

11516 Brighton CT
Midwest City, OK 73130-8220

Phone

(702) 738-4129

NPI assigned

Jun 22, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Assistant

State licenses

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225410665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 BRIGHTON CT",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731308220",
            "telephone_number": "702-738-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 BRIGHTON CT",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731308220",
            "telephone_number": "702-738-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 18th St",
            "address_purpose": "LOCATION",
            "city": "Spirit Lake",
            "state": "IA",
            "postal_code": "513601026",
            "country_code": "US",
            "telephone_number": "712-336-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDENER",
        "first_name": "GRACE",
        "credential": "MDA, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-09-11",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "078676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganga M Pujari
• Angelique Garcia
• Elissa Garcia
• Julie Garcia, M.S., CCC-SLP
• Garden Manor Rehab and Nursing of Midwest City LLC (Emerald Care Center Midwest)
• Garnos Anesthesia Services, Inc.
• Verle Robert Garnos, CRNA
• Mason Garza
• Monica Geis
• Generation Community Impact Foundation (Onyx Health Clinic)

• Registered Dietitian in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.