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Shannon Elizabeth Bares, RD,CSR,LD
Renal Nutrition Registered Dietitian in Gallup, New Mexico
NPI 1588360937

Shannon Elizabeth Bares is a Renal Nutrition Registered Dietitian based in Gallup, NM and is specialized in Nutrition, Renal. Shannon Elizabeth Bares practices in Gallup, NM and has the professional credentials of RD,CSR,LD. The NPI Number for Shannon Elizabeth Bares is 1588360937 and holds a License No. LD-1261 (New Mexico).

The current practice location address for Shannon Elizabeth Bares is 303 Stagecoach Rd, Gallup, NM and can be reached out via phone at 414-403-0501.

Location: 303 Stagecoach Rd, Gallup, NM, 87301-6779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588360937
Provider Name
Shannon Elizabeth Bares
Credential
RD,CSR,LD
Provider Entity Type
Individual
Gender
Female
Address
303 Stagecoach Rd, Gallup, NM, 87301-6779
Phone Number
414-403-0501
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
303 Stagecoach Rd
City
Gallup
State
New Mexico
Zip
87301-6779
Phone Number
414-403-0501
Fax Number
person
Provider Business Mailing Address Details
Address
303 Stagecoach Rd
City
Gallup
State
New Mexico
Zip
87301-6779
Phone Number
414-403-0501
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
D-1419 (Idaho)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
LD-1261 (New Mexico)
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
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