NPI 1003761636 · live from the CMS NPI Registry
Hailey Lizabeth Collette, MS
Dietitian, Registered, Nutrition, Pediatric in Boise, ID. National Provider Identifier 1003761636, active.
NPI record
| NPI | 1003761636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Pediatric 133VN1004X |
| Practice location | 305 E Jefferson St, Boise, ID 83712 |
| Practice phone | 208-381-7081 |
| Mailing address | 190 E Bannock St, Boise, ID 83712 |
| Enumerated | February 27, 2026 |
| Last updated | March 30, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric primary | 133VN1004X | — (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.