NPIMap

Organization Active NPI

St. Luke'S Children'S

  • Children's Hospital
  • Boise, ID
National Provider Identifier
1114301181
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
SLP-2765 Issued in ID
Legal business name
ST. LUKE'S CHILDREN'S
Practice address
190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 381-2804
NPI assigned
Jul 19, 2015
Organization subpart
Yes
Parent organization
ST. LUKE'SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Authorized official

Name
Kristin G Booton, MS CCC-SLPNPI 1063888188
Title
Speech Language Pathologist
Phone
(502) 693-0329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X SLP-2765 ID Primary

Addresses

Primary practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other identifiers 2

IdentifierTypeStateIssuer
12099045OtherASHA
SLP-2765OtherIDIDAHO SPEECH AND HEARING ASSOCIATION

National Provider Directory

National Provider Directory
Tax ID family
St Luke'S Children'S2 organizations share this tax ID, including this one
Part of
Richard H Lane MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1114301181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S CHILDREN'S",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "BOOTON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-693-0329",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "ID",
            "license": "SLP-2765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12099045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SPEECH AND HEARING ASSOCIATION",
            "identifier": "SLP-2765",
            "state": "ID"
        }
    ],
    "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 Jul 19, 2015; 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.