ALISSA T MCCULLOUGH RDN
NPI 1831760115
Dietitian, Registered in Boise, ID

Active since July 07, 2021
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alissa T Mccullough Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA T MCCULLOUGH RDN (NPI 1831760115) is an individual dietitian, registered in Boise, Idaho and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1831760115
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALISSA T MCCULLOUGHCredential: RDN
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address3202 W Good StBoise, ID 83703-5546 · (208) 999-6466
Sole ProprietorNo
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
NPI 1831760115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

190 E BANNOCK ST, Boise, ID 83712

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy Technician
190 E BANNOCK ST
BOISE, ID 83712
Pharmacist
190 E BANNOCK ST, EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712
Pharmacist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Family)
190 E BANNOCK ST
BOISE, ID 83712
Radiology (Diagnostic Radiology)
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine (Emergency Medical Services)
190 E BANNOCK ST
BOISE, ID 83712
Anesthesiology
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alissa Mccullough's NPI number?

The NPI number for Alissa Mccullough is 1831760115. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Alissa Mccullough located?

Alissa Mccullough practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Alissa Mccullough's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Alissa Mccullough was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.