ST LUKE'S HUMPHREYS DIABETES CENTER INC
NPI 1306984729
Dietitian, Registered in Boise, ID

Q: What is St Luke's Humphreys Diabetes Center Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 01, 2007

1226 W RIVER ST, BOISE, ID 83702(208) 331-1155(208) 383-0190 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About St Luke's Humphreys Diabetes Center Inc NPPES

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

ST LUKE'S HUMPHREYS DIABETES CENTER INC (NPI 1306984729), doing business as Humphreys Diabetes Center Inc, is a healthcare organization registered as a dietitian, registered in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Robert Scanlon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306984729

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameST LUKE'S HUMPHREYS DIABETES CENTER INC

Location Address1226 W RIVER STBoise, ID 83702-7049

Mailing Address1226 W River StBoise, ID 83702-7049 · (208) 331-1155 · Fax (208) 383-0190

Phone(208) 331-1155

Fax(208) 383-0190

Organization SubpartNo

Authorized OfficialRobert ScanlonExecutive Director · (208) 331-1155

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 28, 2011

✔ NPI 1306984729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 4366980001 (ID)

1226 W RIVER ST, Boise, ID 83702

Open in Google Maps ↗

Other Names 1

Former Legal Business NameHumphreys Diabetes Center Inc

Other Identifiers 8

Medicare PIN1920300ID

Other000010013347ID · Blue Shield

Other8G502ID · Blue Cross

Medicare UPIND33630ID

Medicaid807850000ID

Medicaid806348400ID

Other000010170136ID · Regence Walters

Medicare NSC4366980001ID

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.

ST LUKES REGIONAL MEDICAL CENTER

Registered Nurse (Diabetes Educator)