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

St Lukes Regional Medical Center

Organization Registered Dietitian · NPI 1003295452

St Lukes Regional Medical Center provides Registered Dietitian services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1226 W River St
Boise, ID 83702-7049 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 331-1155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 03 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 03 (ID)

Record details

NPI number1003295452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Taylor — Sr Vice President And Cfo · (208) 381-2520
Other names St Luke'S Humphreys Diabetes Center
NPI enumeratedMay 19, 2015
Last updated in NPPESJune 22, 2016
Mailing address190 E Bannock St, Boise, ID 83712-6241

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