ST. LUKE'S TREASURE VALLEY PEDIATRICS
NPI 1396121349
Clinic/Center - Primary Care in Eagle, ID

Active since July 31, 2015
450 W STATE ST STE 100, EAGLE, ID 83616(208) 939-1035(208) 939-8970 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Luke's Treasure Valley Pediatrics NPPES

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

ST. LUKE'S TREASURE VALLEY PEDIATRICS (NPI 1396121349) is a healthcare organization registered as a primary care in Eagle, Idaho and active in the NPI registry since July 2015. The organization lists Alisha Lauren Miller, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396121349
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST. LUKE'S TREASURE VALLEY PEDIATRICS
Location Address450 W STATE ST STE 100Eagle, ID 83616-7055
Mailing Address450 W State St Ste 100Eagle, ID 83616-7055 · (208) 939-1035 · Fax (208) 939-8970
Fax(208) 939-8970
Organization SubpartNo
Authorized OfficialAlisha Lauren MillerFamily Nurse Practitioner · (208) 939-1035
Enumeration DateJuly 31, 2015
NPI 1396121349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
450 W STATE ST STE 100, Eagle, ID 83616

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
450 W STATE ST STE 100
EAGLE, ID 83616
Pediatrics
450 W STATE ST STE 100
EAGLE, ID 83616
Social Worker (Clinical)
450 W STATE ST STE 100
EAGLE, ID 83616

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 Treasure Valley Pediatrics's NPI number?

The NPI number for St. Luke's Treasure Valley Pediatrics is 1396121349. It was assigned to this organization in the NPPES registry on July 31, 2015.

Where is St. Luke's Treasure Valley Pediatrics located?

St. Luke's Treasure Valley Pediatrics is located at 450 W State St Ste 100, Eagle, ID 83616. The listed phone number is (208) 939-1035.

What is St. Luke's Treasure Valley Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St. Luke's Treasure Valley Pediatrics was last updated on July 31, 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.