Healthcare Provider Details

I. General information

NPI: 1154252971
Provider Name (Legal Business Name): GRACE CARTER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 FIELD DR NE
ALBUQUERQUE NM
87112-2834
US

IV. Provider business mailing address

1840 FIELD DR NE
ALBUQUERQUE NM
87112-2834
US

V. Phone/Fax

Practice location:
  • Phone: 505-918-7024
  • Fax:
Mailing address:
  • Phone: 505-918-7024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86342934
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: