Provider Type Icon

HUMPHREYS DIABETES CENTER NPI 1821263088


NPI Information

NPI: 1821263088
Provider Name: HUMPHREYS DIABETES CENTER
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1226 W RIVER ST
BOISE, ID
ZIP 83702
Phone: (208) 331-1155
Get Directions

HUMPHREYS DIABETES CENTER is a dietitian registered in Boise, ID. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. HUMPHREYS DIABETES CENTER NPI is 1821263088. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1226 W RIVER ST
BOISE, ID
ZIP 83702-049
Phone: (208) 331-1155
Fax: (208) 383-0190

The provider's authorized official is Robert W Scanlon .
The authorized official title is Executive Director and has the following contact phone number (208) 331-1155.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 11/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY331IDAHONo
2133V00000XDietitian, RegisteredD33630IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1806348400MEDICAIDIDAHO
28G502OTHERIDAHOBLUE CROSS
31374744OTHERIDAHOMEDICARE MNT

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.