Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallon Bader, MS, RDN, LD

Individual provider Registered Dietitian · NPI 1407616949

Fallon Bader, MS, RDN, LD is a Registered Dietitian in Jemez Pueblo, New Mexico. Licensed in New Mexico. Registered with an NPI since 2024.

Licensed in
NM
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

139 Bear Head Canyon Rd Unit B
Jemez Pueblo, NM 87024-0776
Phone: (908) 670-2348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence NDP-2024-0036 (NM)

Record details

NPI number1407616949
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LD
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address31 Cedar Hill Pl Ne, Albuquerque, NM 87122-1906