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St Lukes Regional Medical Center

Diabetes Educator (Registered Nurse)·Boise, ID· NPI 1003295452 · Enumerated 2015 · 11 years on NPI
St Lukes Regional Medical Center is 1 of 31 diabetes educator (registered nurse) organizations in Idaho.
NPI age
11 years
Enumerated 2015-05-19
Primary specialty
Diabetes Educator (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: CMS NPPES provider record

How this organization compares

Across 31 active diabetes educator (registered nurse) providers in Idaho.

NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2015 → 2016

2015-05Enumerated in NPPES
2015 2016

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

Other providers sharing this address

20 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.

Specialties

Nursing Service Providers › Registered Nurse
  • Registered Nurse Primary
    CMS NPPES uses NUCC taxonomy code 163WD0400X for provider records classified as Diabetes Educator within Registered Nurse. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
    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

Shared NPPES address. 20 individual providers use this primary address. This does not prove employment or affiliation.

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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.

Related

Diabetes Educator (Registered Nurse) organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide