NPI age
18 years
Enumerated 2007-05-31
● Active Type 2 · Organization
Childrens Kidney Specialists Pllc
Childrens Kidney Specialists Pllc is 1 of 4 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jenkins
Doctor
Last NPPES update
2012-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 4 active pediatrics providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 E Idaho St, 200
Boise, ID 837126223
Mailing address
1935 Nw Norfolk Ct
Portland, OR 972298448
Authorized official
Randall Jenkins, MD
Doctor
📞 2083817336
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Shane Ahlers, M.D. Internal Medicine NPI 1861802332
- May Alsanea, PHARMD Pharmacist NPI 1174413439
- Michela Altergott, PHARMD Pharmacist NPI 1730746900
- Suzanne Anstine, MD Obstetrics & Gynecology NPI 1790770246
- R Archibald, MD Obstetrics & Gynecology NPI 1831147248
- Chase Ayres, PHARMD Pharmacist NPI 1922628080
- Viviana Baeza Nunez Massage Therapist NPI 1083487565
- Diane Bartlett, LCSW Social Worker NPI 1750700472
- Joshua Barton, MD Surgery NPI 1265401947
- Bryce Benson Pharmacist NPI 1740828383
- Madison Bernhardt Genetic Counselor, MS NPI 1275029340
- David Bettis, MD Psychiatry & Neurology NPI 1053425603
- Michele Betts, LCSW Social Worker NPI 1548681380
- Tricia Beveridge-Choo, NP Nurse Practitioner NPI 1295053189
- Kacey Blea Physician Assistant NPI 1205561727
- Sarah Bolender, MD Radiology NPI 1811003395
- George Booth, MD Pediatrics NPI 1497708614
- Joanna Bork Dietitian, Registered NPI 1740605740
- Dustin Bowman, PA-C Physician Assistant NPI 1386680239
- Kendra Bowman, MD, PHD Surgery NPI 1811029507
Specialties
-
Pediatrics PrimaryA pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010026970 | BLUE SHIELD |
| 05 (ID) | 003401500 |
Practice context
Multi-provider organization. 20 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.