Individual provider Active NPI

Alyssa Marie Gehle, MPH, RDN, LN

  • Nutritionist
  • Sioux Falls, SD
National Provider Identifier
1770924417
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0612 Issued in SD
Practice address
521 N Main Ave Ste 101
Sioux Falls, SD 57104-5963
Phone
(605) 367-8031
Fax
(605) 367-8247
NPI assigned
Jul 10, 2013
Last updated
May 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0612 SD Primary

Addresses

Primary practice location

521 N Main Ave Ste 101
Sioux Falls, SD 57104-5963

Mailing address

521 N Main Ave Ste 101
Sioux Falls, SD 57104-5963
Phone (605) 367-8031

Other practice location 1

1601 S Sycamore Ave
Sioux Falls, SD 57110-4203
Phone (605) 334-4570 ext. 164

Other identifiers 1

IdentifierTypeStateIssuer
42-0325638OtherSDEMPLOYEE TAX ID

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

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1770924417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045963",
            "telephone_number": "605-367-8031",
            "fax_number": "605-361-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045963",
            "telephone_number": "605-367-8031",
            "fax_number": "605-367-8247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 S Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571104203",
            "country_code": "US",
            "telephone_number": "605-334-4570 x164",
            "fax_number": "888-972-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHLE",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MPH, RDN, LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SD",
            "license": "0612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE TAX ID",
            "identifier": "42-0325638",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2019; 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.