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

Tara S Whitaker, MD

Individual provider Family Medicine Physician · NPI 1134416647

Tara S Whitaker, MD is a Family Practice in Boise, Idaho. Graduated from University of Washington School of Medicine in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 W State St Ste 100
Boise, ID 83702-4085
Phone: (208) 947-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 — (208) 323-1125

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-11855 (ID)

Record details

NPI number1134416647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2011
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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