NPI
Fallon Bader
NPI 1407616949
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MS, RDN, LD
- Type
- Individual
- Enumeration date
- 2024-03-21
- Last updated
- 2024-03-21
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Specialties
Licenses
- License NM
- NDP-2024-0036
Location
- Practice location
- 139 Bear Head Canyon Rd Unit B
- City
- Jemez Pueblo NM
- Postal code
- 87024-0776
- Phone
- (908) 670-2348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jemez Pueblo, NM. 64 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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