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

Alyssa Marie Gallagher, LD

Individual provider Registered Dietitian · NPI 1730497991

Alyssa Marie Gallagher, LD is a Registered Dietitian OR Nutrition Professional in Boise, Idaho. Qualified in 2007, 19 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2010
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1226 W River St
Boise, ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-633 (ID)

Record details

NPI number1730497991
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorYes
NPI enumeratedSeptember 21, 2010
Last updated in NPPESMarch 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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