TREASURE VALLEY ENDOCRINOLOGY PC NPI 1417967696

NPI Information

  • NPI: 1417967696
  • Provider Name: TREASURE VALLEY ENDOCRINOLOGY PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 13D1067140
  • Address: 900 N LIBERTY ST STE 201
    BOISE, ID
    ZIP 83704
  • Phone: (208) 367-6740

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NPI Details

TREASURE VALLEY ENDOCRINOLOGY PC is an endocrinology and diabetes and metabolism internal medicine in Boise, ID. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. TREASURE VALLEY ENDOCRINOLOGY PC NPI is 1417967696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 N LIBERTY ST STE 201
BOISE, ID
ZIP 83704-707
Phone: (208) 367-6740
Fax: (208) 367-6742

The provider's authorized official is Julie A. Foote .
The authorized official title is Endocrinologist and has the following contact phone number (208) 367-6740.

The CLIA number assigned to this NPI record is 13D1067140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismM 6551ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11368639MEDICARE PINIDAHO
2807326100MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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