Pediatrics, Neurodevelopmental Disabilities
ST LUKE'S REGIONAL MEDICAL CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1316243330 · enumerated 2011-02-09 · record updated 2011-02-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JOHN KEE, VP PHYSICIAN SERVICES · (208) 381-5329
Other names: ST LUKE'S CHILDRENS - NEUROLOGY
Addresses and phones
- Mailing address 190 E BANNOCK ST, BOISE, ID, 83712-6241 (208) 381-2222 Google Maps Apple Maps OpenStreetMap
- Practice location 100 E IDAHO ST, STE 200, BOISE, ID, 83712-6267 (208) 381-5000 Fax (208) 381-5005 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Clinical Child & Adolescent 103TC2200X · License 03 ID
- Pediatrics, Neurodevelopmental Disabilities 2080P0008X · Primary · License 03 ID
In this directory
ID Ada County Boise Pediatrics, Neurodevelopmental Disabilities
Locations and evidence
-
Practice location
BOISE, ID, 837126267
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.