Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Luke's Humphreys Diabetes Center Inc

Organization Registered Dietitian · NPI 1306984729

St Luke's Humphreys Diabetes Center Inc is a Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1226 W River St
Boise, ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 4366980001 (ID)

Record details

NPI number1306984729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Scanlon — Executive Director · (208) 331-1155
Other names Humphreys Diabetes Center Inc
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 28, 2011
Mailing address1226 W River St, Boise, ID 83702-7049

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