P Praxis·MD
● Active Type 2 · Organization

St Lukes Regional Medical Center

Registered Nurse·Boise, ID· NPI 1003295452 · Enumerated 2015 · 11 years on NPI
St Lukes Regional Medical Center is 1 of 31 registered nurse organizations in Idaho.
NPI age
11 years
Enumerated 2015-05-19
Primary specialty
Registered Nurse
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
SR Vice President And Cfo
Last NPPES update
2016-06-22
Source: monthly bulk 2026-05

How this organization compares

Across 31 active registered nurse providers in Idaho.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
1226 W River St
Boise, ID 837027049
📞 2083311155
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Authorized official

Jeff Taylor
SR Vice President And Cfo
📞 2083812520

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Registered Nurse Primary
    Definition to come...
    ID license #03 taxonomy 163WD0400X
  • Dietitian, Registered
    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...
    ID license #03 taxonomy 133V00000X

Identifiers

TypeValueNotes
05 (ID) 1003295452

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • St Luke's Humphreys Diabetes Center
    Type code 3 recorded 2015-06-10

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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