ALYSSA MARIE GALLAGHER


Address: 1226 W River St, Boise, ID 83702-7049
Phone: 2083311155

ALYSSA MARIE GALLAGHER (NPI# 1730497991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730497991
Entity Type Individual
Full Name ALYSSA MARIE GALLAGHER
Credential LD
Practice Address 1226 W River St
Boise
ID 83702-7049
Practice Telephone 2083311155
Practice Fax Number 2083830190
Mailing Telephone 2083311155
Enumeration Date 2010-09-21
Last Update Date 2016-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D-633 ID Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID D-633 D-633 01
ID 1730497991 05

Other Providers ALYSSA GALLAGHER

NPI Name Taxonomy Address Enumeration
1255755989 Alyssa Gallagher Student in an Organized Health Care Education/Training Program 6001 Moon St Ne, Apt. 2717, Albuquerque, NM 87111-1461 2014-02-17

Office Location

Street Address 1226 W RIVER ST
City BOISE
State ID
Zip Code 83702-7049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306984729 St Luke's Humphreys Diabetes Center Inc Durable Medical Equipment & Medical Supplies 1226 W River St, Boise, ID 83702-7049 2007-02-01
1205435757 Ji Young An Registered Nurse 1226 W River St, Boise, ID 83702-7049 2020-10-25
1073985339 Whitney Blanchard Conrad Nurse Practitioner 1226 W River St, Boise, ID 83702-7049 2015-10-27
1003295452 St Lukes Regional Medical Center Dietitian, Registered 1226 W River St, Boise, ID 83702-7049 2015-05-19
1477976116 Elizabeth Augustine Social Worker 1226 W River St, Boise, ID 83702-7049 2014-01-31
1710328836 Marisue Smith Dietitian, Registered 1226 W River St, Boise, ID 83702-7049 2013-07-17
1588902589 Claudia Harris Registered Nurse 1226 W River St, Boise, ID 83702-7049 2013-01-25
1699029041 Elizabeth A Salisbury Registered Nurse 1226 W River St, Boise, ID 83702-7049 2012-11-07
1982958625 Vicki Smith Cutshall Registered Nurse 1226 W River St, Boise, ID 83702-7049 2012-11-02
1154622892 Patricia Ann Byrne Registered Nurse 1226 W River St, Boise, ID 83702-7049 2010-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689272965 Katelyn Diane John Dietitian, Registered 967 N Clithero Dr, Boise, ID 83703-5703 2020-10-09
1245855113 Megan Jensen Dietitian, Registered 6929 W Trail Dr, Boise, ID 83704-4568 2020-06-16
1437779469 Nutrition Dejunked LLC Dietitian, Registered 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 2020-04-20
1902445240 Benjamin Von Lindern Dietitian, Registered 6333 N Buckley Pl, Boise, ID 83713-1204 2020-01-03
1215576095 Lea Steiner Dietitian, Registered 500 W Fort St Stop 120, Boise, ID 83702-4501 2019-12-27
1508404880 Morgan Alexis Pearson Dietitian, Registered 3301 W Camrose Ln, Boise, ID 83706-2712 2019-12-17
1720632433 Jill Amber Leiser Dietitian, Registered 600 N Robbins Rd Ste 100, Boise, ID 83702-4564 2019-07-31
1790343127 Carly Ruth Metcalf Dietitian, Registered 3562 S Tk Ave, Boise, ID 83705-5278 2019-05-31
1760049217 Barbara Gordon Dietitian, Registered 2723 N Lakeharbor Ln, Boise, ID 83703-6240 2019-05-21
1538625827 Boise Optimal Nutrition LLC Dietitian, Registered 6126 W State St Ste 206, Boise, ID 83703-2741 2019-02-12
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Competitor

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City BOISE
Zip Code 83702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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