St Luke's Humphreys Diabetes Center Inc
NPI 1306984729ActiveOrganization· Dietitian, Registered· Boise, ID
Dietitian, Registered in Boise, Idaho, registered in NPPES in February 2007. The authorized official on file is Robert Scanlon, Executive Director.
Overview
| NPI | 1306984729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2007 |
| Last updated in NPPES | Jul 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4366980001 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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