Individual provider Active NPI

Robert John Houk, MPA, RN

  • Diabetes Educator Registered Nurse
  • Boise, ID
National Provider Identifier
1053640037
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
N-31902 Issued in ID
Practice address
3167 E Bonview Dr
Boise, ID 83712-8504
Phone
(208) 433-0887
NPI assigned
Dec 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N-31902 ID
Diabetes Educator Registered Nurse 163WD0400X N-31902 ID Primary

Addresses

Primary practice location

3167 E Bonview Dr
Boise, ID 83712-8504

Mailing address

3167 E Bonview Dr
Boise, ID 83712-8504
Phone (208) 433-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
N-31902IDMDDiabetes Educator Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1053640037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 E BONVIEW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128504",
            "telephone_number": "208-433-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 E BONVIEW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128504",
            "telephone_number": "208-433-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUK",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "MPA, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-31902",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "ID",
            "license": "N-31902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.