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ST LUKES CLINIC-TREASURE VALLEY LLC
NPI 1326336058
Family Medicine in Boise, ID

Active since July 15, 2011
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Dec 8, 2022, Aug 23, 2016 and 1 more (4 updates tracked since 2016).

About St Lukes Clinic-treasure Valley Llc NPPES

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

ST LUKES CLINIC-TREASURE VALLEY LLC (NPI 1326336058) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since July 2011. The organization lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326336058
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST LUKES CLINIC-TREASURE VALLEY LLC
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing AddressPo Box 640Boise, ID 83701-0640 · (208) 381-2222
Phone(208) 381-2222
Organization SubpartYesParent: St Lukes Health System Ltd
Authorized OfficialKathryn FowlerSenior Vp, Cfo · (208) 381-8717
Enumeration DateJuly 15, 2011
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1326336058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · 03
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 03 (ID)
Also ListedInternal MedicineTaxonomy 207R00000X · License 03 (ID)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 03 (ID)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 03 (ID)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 03 (ID)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 03 (ID)
Also ListedOphthalmologyTaxonomy 207W00000X · License 03 (ID)
Also ListedPediatricsTaxonomy 208000000X · License 03 (ID)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 03 (ID)
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 03 (ID)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 03 (ID)
Also ListedSurgeryTaxonomy 208600000X · License 03 (ID)
Also ListedUrologyTaxonomy 208800000X · License 03 (ID)
Also ListedHospitalistTaxonomy 208M00000X · License 03 (ID)
190 E BANNOCK ST, Boise, ID 83712
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Other Identifiers 1

Medicaid1326336058ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Clinic-Treasure Valley LLC's NPI number?

The NPI number for St Lukes Clinic-Treasure Valley LLC is 1326336058. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is St Lukes Clinic-Treasure Valley LLC located?

St Lukes Clinic-Treasure Valley LLC is located at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is St Lukes Clinic-Treasure Valley LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does St Lukes Clinic-Treasure Valley LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list St Lukes Clinic-Treasure Valley LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Lukes Clinic-Treasure Valley LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.