ST LUKE'S HUMPHREYS DIABETES CENTER INC
NPI 1306984729
Dietitian, Registered in Boise, ID
NPI Status: Active since February 01, 2007
Contact Information
1226 W RIVER ST
BOISE, ID
ZIP 83702
Phone: (208) 331-1155
Fax: (208) 383-0190
- Organization
- Dietitian, Registered
- CLIA Number: 13D0521917
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 11-28-2026
About ST LUKE'S HUMPHREYS DIABETES CENTER INC
This page provides the complete NPI Profile along with additional information for St Luke's Humphreys Diabetes Center Inc, a provider established in Boise, Idaho operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1306984729 assigned on February 2007. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's former legal business name is Humphreys Diabetes Center Inc. The authorized official of this NPI record is Mr. Robert Scanlon (Executive Director)
- NPI
- 1306984729
- Provider Legal Name
- ST LUKE'S HUMPHREYS DIABETES CENTER INC
- Other Organization Name
- HUMPHREYS DIABETES CENTER INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1226 W RIVER ST BOISE, ID 83702
- Location Phone
- (208) 331-1155
- Location Fax
- (208) 383-0190
- Mailing Address
- 1226 W RIVER ST BOISE, ID 83702
- Mailing Phone
- (208) 331-1155
- Mailing Fax
- (208) 383-0190
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 07-28-2011
- Code Navigator
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
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- 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.
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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 4366980001 (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.
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 |
|---|---|---|---|
| 1920300 | MEDICARE PIN (08) | ID | |
| 000010013347 | OTHER (01) | ID | BLUE SHIELD |
| 8G502 | OTHER (01) | ID | BLUE CROSS |
| D33630 | MEDICARE UPIN (02) | ID | |
| 807850000 | MEDICAID (05) | ID | |
| 806348400 | MEDICAID (05) | ID | |
| 000010170136 | OTHER (01) | ID | REGENCE WALTERS |
| 4366980001 | MEDICARE NSC (07) | 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
- 13D0521917
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- November 29, 2024
- Certificate Expiration Date
- November 28, 2026
- Laboratory Director
- SHERWIN DSOUZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Luke's Humphreys Diabetes Center Inc 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 1306984729, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. 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 1306984729, enumerated as an "organization" on February 01, 2007.
The provider is located at 1226 W RIVER ST BOISE, ID 83702 and the phone number is (208) 331-1155.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
