ST LUKE'S HUMPHREYS DIABETES CENTER
NPI 1003295452
Registered Nurse - Diabetes Educator in Boise, ID

Active since May 19, 2015CLIA Certified · 2 labs
1226 W RIVER ST, BOISE, ID 83702(208) 331-1155 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Luke's Humphreys Diabetes Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKE'S HUMPHREYS DIABETES CENTER (NPI 1003295452) is a healthcare organization registered as a diabetes educator in Boise, Idaho and active in the NPI registry since May 2015. The organization holds 2 active CLIA laboratory certificates and lists Jeff Taylor, Sr Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1003295452
Entity TypeOrganization
Primary Taxonomy163WD0400X
Legal Business NameST LUKES REGIONAL MEDICAL CENTER
Location Address1226 W RIVER STBoise, ID 83702-7049
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Organization SubpartNo
Authorized OfficialJeff TaylorSr Vice President And Cfo · (208) 381-2520
Enumeration DateMay 19, 2015
Last NPPES UpdateJune 22, 2016
NPI 1003295452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in ID · 03
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 03 (ID)
1226 W RIVER ST, Boise, ID 83702

Other Names 1

Doing Business AsSt Luke's Humphreys Diabetes Center

Other Identifiers 2

Medicaid1003295452ID
Medicare PIN20007319ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0521917

St Luke's Humphreys Diabetes Center · Boise, ID
Active · expires Nov 28, 2026
CLIA Number13D0521917
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorSherwin Dsouza
Laboratory Phone(208) 331-1155
Laboratory LocationSt Luke's Humphreys Diabetes Center1226 River St, Boise, ID 83702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2212300

St Luke's Clinic-Humphrey's Diabetes Center · Nampa, ID
Active · expires Feb 2, 2027
CLIA Number13D2212300
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorSherwin Dsouza
Laboratory Phone(208) 331-1155
Laboratory LocationSt Luke's Clinic-Humphrey's Diabetes Center9850 W St Luke's Dr Ste 327, Nampa, ID 83687
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1226 W RIVER ST
BOISE, ID 83702
Physician Assistant
1226 W RIVER ST
BOISE, ID 83702
Registered Nurse
1226 W RIVER ST
BOISE, ID 83702
Nurse Practitioner (Adult Health)
1226 W RIVER ST
BOISE, ID 83702
Registered Nurse (Diabetes Educator)
1226 W RIVER ST
BOISE, ID 83702
Social Worker (Clinical)
1226 W RIVER ST
BOISE, ID 83702
Registered Nurse
1226 W RIVER ST
BOISE, ID 83702
Registered Nurse (Diabetes Educator)
1226 W RIVER ST
BOISE, ID 83702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Lukes Regional Medical Center's NPI number?

The NPI number for St Lukes Regional Medical Center is 1003295452. It was assigned to this organization in the NPPES registry on May 19, 2015. The provider is doing business as St Luke's Humphreys Diabetes Center.

Where is St Lukes Regional Medical Center located?

St Lukes Regional Medical Center is located at 1226 W River St, Boise, ID 83702. The listed phone number is (208) 331-1155.

What is St Lukes Regional Medical Center's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Does St Lukes Regional Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Lukes Regional Medical Center was last updated on June 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.