Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Luke's Humphreys Diabetes Center Inc

Organization Registered Dietitian · NPI 1306984729

St Luke's Humphreys Diabetes Center Inc provides Registered Dietitian services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1226 W River St
Boise, ID 83702-7049 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 331-1155
Fax: (208) 383-0190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 4366980001 (ID)

Record details

NPI number1306984729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Scanlon — Executive Director · (208) 331-1155
Other names Humphreys Diabetes Center Inc
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 28, 2011
Mailing address1226 W River St, Boise, ID 83702-7049

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