P Praxis·MD
● Active Type 1 · Individual

Abigail Martha Harris Mallory, RD, MS

Dietitian, Registered·Hailey, ID· NPI 1114519519 · Enumerated 2021 · 5 years on NPI
Mallory is 1 of 1 dietitian, registered providers in Hailey and 1 of 505 in Idaho.
NPI age
5 years
Enumerated 2021-02-07
Primary specialty
Dietitian, Registered
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 505 active dietitian, registered providers in Idaho.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Practice location
211 N 6th Ave
Hailey, ID 833338867
📞 8023187232
Mailing address
Po Box 3413
Ketchum, ID 833403369
📞 8023187232

Specialties

  • Dietitian, Registered Primary
    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...
    taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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