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

Shannon Elizabeth Bares, RD, CSR, LD

Individual provider Registered Dietitian · NPI 1588360937

Shannon Elizabeth Bares, RD, CSR, LD is a Registered Dietitian in Gallup, New Mexico. Licensed in Idaho, New Mexico and Wyoming. Registered with an NPI since 2023.

Licensed in
ID, NM, WY
In the registry since
2023
Specialties on file
4
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

303 Stagecoach Rd
Gallup, NM 87301-6779
Phone: (414) 403-0501
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Renal Nutrition Registered Dietitian (primary) Taxonomy 133VN1005X · Licence 954764
Registered Dietitian Taxonomy 133V00000X · Licence LD-1261 (NM)
Registered Dietitian Taxonomy 133V00000X · Licence D-1419 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 461 (WY)

Record details

NPI number1588360937
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSR , LD
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

Other providers in Gallup