P Praxis·MD
● Active Type 2 · Organization

St. Luke'S Treasure Valley Pediatrics

Clinic/Center·Eagle, ID· NPI 1396121349 · Enumerated 2015 · 10 years on NPI
St. Luke'S Treasure Valley Pediatrics is 1 of 104 clinic/center organizations in Idaho.
NPI age
10 years
Enumerated 2015-07-31
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Family Nurse Practitioner
Last NPPES update
2015-07-31
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
10 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
450 W State St Ste 100
Eagle, ID 836167055
📞 2089391035fax 2089398970
Mailing address
450 W State St Ste 100
Eagle, ID 836167055
📞 2089391035fax 2089398970

Authorized official

Alisha Lauren Miller
Family Nurse Practitioner
📞 2089391035

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Practice context

Multi-provider organization. 3 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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