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

St Lukes Regional Medical Center

Organization Registered Dietitian · NPI 1003295452

St Lukes Regional Medical Center is a Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
Specialties on file
2

Practice location Address checks out

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

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

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 03 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 03 (ID)

Record details

NPI number1003295452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Taylor — Sr Vice President And Cfo · (208) 381-2520
Other names St Luke'S Humphreys Diabetes Center
NPI enumeratedMay 19, 2015
Last updated in NPPESJune 22, 2016
Mailing address190 E Bannock St, Boise, ID 83712-6241

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