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

NPI Status: Active since July 19, 2015

Contact Information

190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2804

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  • Organization
  • General Acute Care Hospital
  • Children
  • CLIA Number: 13D2138529
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-18-2027

About ST. LUKE'S CHILDREN'S

This page provides the complete NPI Profile along with additional information for St. Luke's Children's, a provider established in Boise, Idaho operating as a General Acute Care Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1114301181 assigned on July 2015. The practitioner's primary taxonomy code is 282NC2000X with license number SLP-2765 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Kristin G Booton Ms Ccc-slp (Speech Language Pathologist)

NPI
1114301181
Provider Name
ST. LUKE'S CHILDREN'S
Entity Type
Organization
Location Address
190 E BANNOCK ST BOISE, ID 83712
Location Phone
(208) 381-2804
Mailing Address
190 E BANNOCK ST BOISE, ID 83712
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-19-2015
Last Update Date
07-19-2015
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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

General Acute Care Hospital Children

Taxonomy Code
282NC2000X
Type
Hospitals
License No.
SLP-2765
License State
ID

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTIN G BOOTON MS CCC-SLP

Authorized Official Title
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Phone
(502) 693-0329

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
SLP-2765OTHER (01)IDIDAHO SPEECH AND HEARING ASSOCIATION
12099045OTHER (01)ASHA

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
13D2138529
Facility Type
Community Clinic
Certificate Effective Date
October 19, 2025
Certificate Expiration Date
October 18, 2027
Laboratory Director
CHRISTOPHER D. STREETER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Luke's Children's 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 1114301181, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 3 → 6 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 6 + 0 + 2 + 1 + 1 + 6 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114301181.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacy Technician
190 E BANNOCK ST
BOISE, ID 83712
Pharmacist
190 E BANNOCK ST, EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712
Pharmacist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Family)
190 E BANNOCK ST
BOISE, ID 83712
Radiology (Diagnostic Radiology)
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine (Emergency Medical Services)
190 E BANNOCK ST
BOISE, ID 83712
Anesthesiology
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Radiology (Diagnostic Radiology)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Pathology (Anatomic Pathology & Clinical Pathology)
190 E BANNOCK ST
BOISE, ID 83712
Pathology (Anatomic Pathology & Clinical Pathology)
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pathology (Anatomic Pathology & Clinical Pathology)
190 E BANNOCK ST
BOISE, ID 83712
Pathology (Anatomic Pathology & Clinical Pathology)
190 E BANNOCK ST
BOISE, ID 83712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114301181, enumerated as an "organization" on July 19, 2015.

The provider is located at 190 E BANNOCK ST BOISE, ID 83712 and the phone number is (208) 381-2804.

General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.