ST LUKE'S HUMPHREYS DIABETES CENTER
NPI 1003295452
Registered Nurse - Diabetes Educator in Boise, ID
NPI Status: Active since May 19, 2015
Contact Information
1226 W RIVER ST
BOISE, ID
ZIP 83702
Phone: (208) 331-1155
- Organization
- Registered Nurse
- Diabetes Educator
- CLIA Number: 13D2212300
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 02-02-2027
About ST LUKE'S HUMPHREYS DIABETES CENTER
This page provides the complete NPI Profile along with additional information for St Luke's Humphreys Diabetes Center, a provider established in Boise, Idaho operating as a Registered Nurse, focusing in diabetes educator . The healthcare provider is registered in the NPI registry with number 1003295452 assigned on May 2015. The practitioner's primary taxonomy code is 163WD0400X with license number 03 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. St Luke's Humphreys Diabetes Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Luke's Humphreys Diabetes Center. The authorized official of this NPI record is Jeff Taylor (Sr Vice President And Cfo)
- NPI
- 1003295452
- Provider Legal Name
- ST LUKES REGIONAL MEDICAL CENTER
- Other Organization Name
- ST LUKE'S HUMPHREYS DIABETES CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1226 W RIVER ST BOISE, ID 83702
- Location Phone
- (208) 331-1155
- Mailing Address
- 190 E BANNOCK ST BOISE, ID 83712
- Mailing Phone
- (208) 381-2222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2015
- Last Update Date
- 06-22-2016
- Code Navigator
A registered nurse (RN) like St Luke's Humphreys Diabetes Center coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Diabetes Educator
- Taxonomy Code
- 163WD0400X
- Type
- Nursing Service Providers
- License No.
- 03
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 03 (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003295452 | MEDICAID (05) | ID | |
| 20007319 | MEDICARE PIN (08) | ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2212300
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 03, 2025
- Certificate Expiration Date
- February 02, 2027
- Laboratory Director
- SHERWIN DSOUZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Luke's Humphreys Diabetes Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003295452, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003295452, enumerated as an "organization" on May 19, 2015.
The provider is located at 1226 W RIVER ST BOISE, ID 83702 and the phone number is (208) 331-1155.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
