NPI age
19 years
Enumerated 2006-11-08
● Active Type 2 · Organization
Center For Lifetime Health
Center For Lifetime Health is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shackelford
Owner
Last NPPES update
2023-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
300 E Bannock St
Boise, ID 83712
Mailing address
300 E Bannock St
Boise, ID 83712
Authorized official
Colleen Shackelford, DNP
Owner
📞 2083427400
Individual providers at this organization
6 individual providers on file at this primary practice address.
- John Eck, M.D. Family Medicine NPI 1033148044
- David Gee, MD Family Medicine NPI 1073541983
- Jon Hlavinka, M.D. Family Medicine NPI 1194715136
- Colleen Shackelford, NP Nurse Practitioner NPI 1104107317
- Shelby Shanaberger, RD Dietitian, Registered NPI 1649661638
- Brea Shrum, MD Obstetrics & Gynecology NPI 1821161548
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Colleen Shackelford, LLC
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- 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.