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

Abigail Martha Harris Mallory, RD, MS

Individual provider Registered Dietitian · NPI 1114519519

Abigail Martha Harris Mallory, RD, MS is registered under Registered Dietitian OR Nutrition Professional in Hailey, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

211 N 6th Ave
Hailey, ID 83333-8867
Phone: (802) 318-7232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1114519519
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , MS
Sole proprietorYes
NPI enumeratedFebruary 7, 2021
Last updated in NPPESFebruary 7, 2021
Certification dateFebruary 7, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Lukes Clinic - Wood River LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 64 clinicians in the practice; 12 are shown here.