P Praxis·MD
● Active Type 2 · Organization

Humphreys Diabetes Center

Dietitian, Registered·Boise, ID· NPI 1821263088 · Enumerated 2008 · 18 years on NPI
Humphreys Diabetes Center is 1 of 505 dietitian, registered organizations in Idaho.
NPI age
18 years
Enumerated 2008-04-28
Primary specialty
Dietitian, Registered
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Scanlon
Executive Director
Last NPPES update
2008-11-21
Source: monthly bulk 2026-05

How this organization compares

Across 505 active dietitian, registered providers in Idaho.

NPI age
18 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
1226 W River St
Boise, ID 837027049
📞 2083311155fax 2083830190
Mailing address
1226 W River St
Boise, ID 837027049
📞 2083311155fax 2083830190

Authorized official

Robert W Scanlon
Executive Director
📞 2083311155

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    ID license #D33630 taxonomy 133V00000X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY331 taxonomy 103T00000X

Identifiers

TypeValueNotes
01 (ID) 8G502 BLUE CROSS
05 (ID) 806348400
01 (ID) 1374744 MEDICARE MNT

Practice context

Multi-provider organization. 20 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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