Shannon Bares, RD, CSR, LD
Shannon Bares, RD, CSR, LD is a Renal Nutrition Registered Dietitian in Gallup, NM, registered under NPI 1588360937. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 303 STAGECOACH RD, Gallup, NM 87301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 954764 | Renal Nutrition Registered Dietitian primary | |
| LD-1261 | NM | Registered Dietitian |
| D-1419 | ID | Registered Dietitian |
| 461 | WY | Registered Dietitian |
Licences are recorded in 3 states: NM, ID, WY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: Idaho, New Mexico and Wyoming. The practice address on file is in Gallup, NM, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- LD-1261
- Specialty
- Registered Dietitian
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Nutrition, Renal covers
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. NUCC Health Care Provider Taxonomy, code 133VN1005X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 133VN1005X | Renal Nutrition Registered Dietitian Nutrition, Renal | 954764 | — | primary |
| 133V00000X | Registered Dietitian | LD-1261 | NM | |
| 133V00000X | Registered Dietitian | D-1419 | ID | |
| 133V00000X | Registered Dietitian | 461 | WY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1588360937 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 6, 2023 |
| Last updated | Feb 6, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | RD, CSR, LD |
| Practice address |
303 STAGECOACH RD Gallup, NM 87301 (414) 403-0501 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 8 | 8 | 3 | 6 | 0 | 9 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 7 | 8 | 6 | 6 | 0 | 9 | 6 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.