Active NPI
Candace Garner, MS, RDN
- Registered Dietitian
- Sheridan, WY
National Provider Identifier
1497268650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 219
- Practice address
- 603 Riverside St
Sheridan, WY 82801-6120 - Phone
- (307) 575-4967
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 219 | WY | Primary |
Addresses
Primary practice location
603 Riverside St
Sheridan, WY 82801-6120
Mailing address
603 Riverside St
Sheridan, WY 82801-6120
Other names 1
- Candace Wollert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219 | WY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1497268650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 RIVERSIDE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 RIVERSIDE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016120",
"telephone_number": "307-575-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "CANDACE",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "WOLLERT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.