Nicole Marie Gard, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86017402 Issued in MI

Practice address

800 E Milham Ave
Portage, MI 49002-1490

Phone

(269) 888-6805

Fax

(269) 280-8990

NPI assigned

Jul 13, 2021

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

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1831761550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021490",
            "telephone_number": "269-888-6805",
            "fax_number": "269-280-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021490",
            "telephone_number": "269-888-6805",
            "fax_number": "269-280-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86017402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Gallagher, ED.D.
• Shirley Anne Gallagher, ED.D.
• Karen Sue Galloway, OTR
• Vincent C Ganapini, DO
• Deborah Carol Gang, MA
• Mikaylah Gardner
• Linda Garrison
• Patricia Ann Gasaway, LPN
• Elizabeth Alice Gass-Boshoven, MA, LPC
• Courtney Gass

• Registered Dietitian in Portage, MI
• Providers in Portage, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.