HAILEY LIZABETH COLLETTE MS
NPI 1003761636
Dietitian, Registered - Nutrition, Pediatric in Boise, ID

Q: What is Hailey Collette's NPI number?

The NPI number for Hailey Collette is 1003761636. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Q: What is Hailey Collette's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Hailey Collette was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2026

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-7081(208) 381-6009 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hailey Lizabeth Collette Ms NPPES

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

HAILEY LIZABETH COLLETTE MS (NPI 1003761636) is an individual nutrition, pediatric provider in Boise, Idaho and active in the NPI registry since February 2026. She maintains a secondary practice location in Boise and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003761636

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameHAILEY LIZABETH COLLETTECredential: MS

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-7081

Fax(208) 381-6009

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 27, 2026

Last NPPES UpdateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1003761636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

305 E JEFFERSON ST, Boise, ID 83712

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Secondary Practice Location 1

Location 1190 E Bannock StBoise, ID 83712-6241 · Phone (208) 706-5437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Lizabeth Collette Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183196918

PECOS Enrollment IDI20260612001682

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.

ARIANA LAWRENCE MS, RD, LD

Dietitian, Registered