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

Thelmari Raubenheimer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366191751

Thelmari Raubenheimer is an Emergency Medicine in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Fax: (208) 381-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 — (843) 692-3499

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1571451 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366191751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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