P Praxis·MD
● Active Type 2 · Organization Subpart

St. Luke'S Regional Medical Center

Nurse Practitioner·Boise, ID· NPI 1396916417 · Enumerated 2008 · 18 years on NPI
St. Luke'S Regional Medical Center is 1 of 56 nurse practitioner organizations in Idaho.
NPI age
18 years
Enumerated 2008-03-17
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dahlberg
President & Ceo
Last NPPES update
2008-03-17
Source: monthly bulk 2026-05

How this organization compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
300 E Jefferson St, Suite 101
Boise, ID 837126246
📞 2083364141
Mailing address
Po Box 110
Boise, ID 837010110

Authorized official

Edwin Dahlberg
President & Ceo
📞 2083812222

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LA2200X

Other names on file (1)

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

  • St. Luke's Idaho Cardiology Associates
    Type code 3 recorded 2008-03-17

Practice context

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

Subpart of St. Luke'S Regional Medical Center.

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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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