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NPI 1093131450
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
Skilled Nursing Facility · Boise, ID · NPI 1093131450
·
Enumerated 2014 · 12 years on NPI
St Lukes Regional Medical Center is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
12 years
Enumerated 2014-03-10
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2022-12-08
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2026
2014-03 Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
600 N Robbins Rd
Boise, ID 837024565
📞 2084894552
Mailing address
Po Box 2777
Boise, ID 837012777
📞 2087065000
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
20 individual providers on file at this primary practice address.
Ashlie Adams , PTA
Physical Therapy Assistant
NPI 1295426344
Kelly Adamson
Physical Therapist
NPI 1952781304
Rebecca Allen , DPT
Physical Therapist
NPI 1659796787
Amanda Barnes , OTR/L
Occupational Therapist
NPI 1740686625
Guniz Bas Uzer
Nurse Practitioner
NPI 1033971783
Marcy Bauer , NP
Nurse Practitioner
NPI 1407281033
Susan Birnbaum , MPT
Physical Therapist
NPI 1245590686
Calli Bishop , RD
Dietitian, Registered
NPI 1336863935
Michael Black , OTR/L
Occupational Therapist
NPI 1104488816
Katherine Bostwick , PT, DPT
Physical Therapist
NPI 1083105704
Mary Brown , OTR/L
Occupational Therapist
NPI 1093139024
Elyse Burandt , DPT
Physical Therapist
NPI 1053030965
Katherine Callanan , MSPT
Physical Therapist
NPI 1871918458
Tami Campbell , M.S. CCC-SLP
Speech-Language Pathologist
NPI 1154746659
Steven Care , MD
Orthopaedic Surgery
NPI 1780694174
Angela Colson , CTRS
Recreation Therapist
NPI 1568082097
Clive Cooper , MD
Internal Medicine
NPI 1962446104
Heather Corder , COTA/L
Occupational Therapy Assistant
NPI 1538429071
Jennifer Cowan , PTA
Physical Therapy Assistant
NPI 1811621295
Heather Craven , OTR/L
Occupational Therapist
NPI 1790109320
Specialties
Skilled Nursing Facility
Primary
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
ID license #H29 taxonomy 314000000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
ST LUKES REHAB - ELKS SUBACUTE REHAB UNIT
Type code 3
recorded 2022-12-08
ST LUKES REHAB - ELKS SUBACUTE REHAB UNIT
Type code 3
recorded 2014-07-30
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.