ST. LUKE'S CHILDREN'S
NPI 1114301181
General Acute Care Hospital - Children in Boise, ID

Active since July 19, 2015CLIA 13D2138529 · Waiver
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2804 Get Directions Write a Review

NPPES record last updated: July 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Luke's Children's NPPES

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

ST. LUKE'S CHILDREN'S (NPI 1114301181) is a healthcare organization registered as a children in Boise, Idaho and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Kristin G Booton, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1114301181
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NameST. LUKE'S CHILDREN'S
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Organization SubpartYesParent: St. Luke's
Authorized OfficialKristin G BootonSpeech Language Pathologist · (502) 693-0329
Enumeration DateJuly 19, 2015
NPI 1114301181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License Licensed in ID · SLP-2765
190 E BANNOCK ST, Boise, ID 83712

Other Identifiers 2

OtherSLP-2765ID · Idaho Speech And Hearing Association
Other12099045Asha

CLIA Laboratory Certificates CMS CLIA

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 13D2138529

St Luke's Children's Center For Neurobehavioral Medicine · Boise, ID
Active · expires Oct 18, 2027
CLIA Number13D2138529
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorChristopher D. Streeter
Laboratory Phone(208) 381-5970
Laboratory LocationSt Luke's Children's Center For Neurobehavioral Medicine1075 E Park Blvd, Boise, ID 83712
CLIA data matches this NPI record on: Name
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.

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712

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. Luke's Children's's NPI number?

The NPI number for St. Luke's Children's is 1114301181. It was assigned to this organization in the NPPES registry on July 19, 2015.

Where is St. Luke's Children's located?

St. Luke's Children's is located at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2804.

What is St. Luke's Children's's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Does St. Luke's Children's hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2138529) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Luke's Children's was last updated on July 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.