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CHILDRENS KIDNEY SPECIALISTS PLLC
NPI 1700088002
Pediatrics - Pediatric Nephrology in Boise, ID

Active since May 31, 2007
100 E IDAHO ST, 200, BOISE, ID 83712(208) 381-7336(208) 381-7495 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Childrens Kidney Specialists Pllc NPPES

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

CHILDRENS KIDNEY SPECIALISTS PLLC (NPI 1700088002) is a healthcare organization registered as a pediatric nephrology in Boise, Idaho and active in the NPI registry since May 2007. The organization lists Randall Jenkins, Doctor, as its authorized official.

NPPES Registry Identity

NPI1700088002
Entity TypeOrganization
Primary Taxonomy2080P0210X
Legal Business NameCHILDRENS KIDNEY SPECIALISTS PLLC
Location Address100 E IDAHO ST, 200Boise, ID 83712-6223
Mailing Address1935 Nw Norfolk CtPortland, OR 97229-8448 · (503) 297-3178 · Fax (208) 381-7495
Phone(208) 381-7336
Fax(208) 381-7495
Organization SubpartNo
Authorized OfficialRandall JenkinsDoctor · (208) 381-7336
Enumeration DateMay 31, 2007
Last NPPES UpdateJune 20, 2012
✔ NPI 1700088002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in ID · M6943
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
100 E IDAHO ST, Boise, ID 83712
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Other Identifiers 3

Other000010026970ID · Blue Shield
Medicare PIN1138465ID
Medicaid003401500ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 Childrens Kidney Specialists PLLC's NPI number?

The NPI number for Childrens Kidney Specialists PLLC is 1700088002. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Childrens Kidney Specialists PLLC located?

Childrens Kidney Specialists PLLC is located at 100 E Idaho St 200, Boise, ID 83712. The listed phone number is (208) 381-7336.

What is Childrens Kidney Specialists PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

When was this NPI record last updated?

The NPPES record for Childrens Kidney Specialists PLLC was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.