Fallon Bader, MS, RDN, LD
NPI 1407616949ActiveIndividual· Dietitian, Registered· Jemez Pueblo, NM
Dietitian, Registered (MS, RDN, LD) in Jemez Pueblo, New Mexico, licensed in NM, with an NPI issued in March 2024. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1407616949 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN, LD |
| Sole proprietor | No |
| NPI issued | Mar 21, 2024 |
| Last updated in NPPES | Mar 21, 2024 |
| Certified by provider | Mar 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | NDP-2024-0036 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|