Southern Idaho Diabetes Education Program
NPI 1154572311 · Primary Care Clinic/Center · Shoshone, ID
Southern Idaho Diabetes Education Program is a Primary Care Clinic/Center organization in Shoshone, ID (NPI 1154572311).
Provider details
- NPI number
- 1154572311
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Shoshone Family Medical Center
- Organization subpart
- Yes
- Authorized official
- Kathryn Pike, Sidep Coordinator(208) 944-4747
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2008-10-07
Frequently asked questions
- What is Southern Idaho Diabetes Education Program's NPI number?
- Southern Idaho Diabetes Education Program's National Provider Identifier (NPI) is 1154572311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Idaho Diabetes Education Program?
- Southern Idaho Diabetes Education Program is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Idaho Diabetes Education Program located?
- Southern Idaho Diabetes Education Program's practice location on file with NPPES is 108 Nw Rail St, Shoshone, ID 83352.
- What is Southern Idaho Diabetes Education Program's phone number?
- The practice phone number listed in the NPPES registry for Southern Idaho Diabetes Education Program is (208) 944-4747.
- Who is the authorized official for Southern Idaho Diabetes Education Program?
- The authorized official listed on Southern Idaho Diabetes Education Program's NPPES record is Kathryn Pike, Sidep Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Idaho Diabetes Education Program's NPI active?
- Yes — Southern Idaho Diabetes Education Program's NPI (1154572311) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.