Sandra K Gardner, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1874 Issued in MN

Practice address

1401 16TH St SW
Willmar, MN 56201-2827

Phone

(320) 231-1527

Fax

(320) 231-0796

NPI assigned

Feb 3, 2010

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

Other names 1

• Sandra K Burns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1447582382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 16TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012827",
            "telephone_number": "320-231-1527",
            "fax_number": "320-231-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 16TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012827",
            "telephone_number": "320-231-1527",
            "fax_number": "320-231-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BURNS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel S Fuglestad, MD
• Brooke Joann Gabrielson, BSN, RN
• Veronica Garcia
• Michael Raymond Gardner, DDS
• Rebecca Gardner, LPCC
• Abi Gasca
• Emily Gass
• Alexander Gawarecki, LPCC
• Brittany Gay
• Sheila K Gemar, MD

• Registered Dietitian in Willmar, MN
• Providers in Willmar, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.