Individual provider Active NPI

Haley Ashlyn Gallman

  • Registered Dietitian
  • Sioux Falls, SD
National Provider Identifier
1003579954
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
110625 Issued in IA
Practice address
1321 W 22ND St
Sioux Falls, SD 57105
Phone
(605) 404-4319
NPI assigned
Oct 18, 2021
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 110625 IA Primary

Addresses

Primary practice location

1321 W 22ND St
Sioux Falls, SD 57105

Mailing address

1321 W 22ND St
Sioux Falls, SD 57105
Phone (605) 404-4319

Other practice location 1

1310 W 22nd St Ste Ll
Sioux Falls, SD 57105-1501
Phone (605) 328-8670

Other names 1

  • Haley Ashlyn Strait Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110625IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Dec 19, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1310 W 22nd St
Ste Ll
Sioux Falls, SD 57105
Phone (605) 328-1990

1321 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-3485

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Networks

  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1003579954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-404-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-404-4319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W 22nd St Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051501",
            "country_code": "US",
            "telephone_number": "605-328-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLMAN",
        "first_name": "HALEY",
        "middle_name": "ASHLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "110625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "STRAIT",
            "middle_name": "ASHLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.