OrganizationActive
Center for Lifetime Health
NPI 1689744963 · Family Medicine Physician · Boise, ID
Center for Lifetime Health is a Family Medicine Physician organization in Boise, ID (NPI 1689744963).
Provider details
- NPI number
- 1689744963
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Colleen Shackelford, Owner(208) 342-7400
- License
- M5741 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
300 E Bannock St
Boise, ID 83712
Phone: (208) 342-7400
Fax: (208) 342-1879
Street-level locationGet directions
Mailing address
300 E Bannock St
Boise, ID 83712
Other names (DBA / former)
- Doing business as
- Colleen Shackelford, LLC
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Frequently asked questions
- What is Center for Lifetime Health's NPI number?
- Center for Lifetime Health's National Provider Identifier (NPI) is 1689744963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Lifetime Health?
- Center for Lifetime Health is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Lifetime Health located?
- Center for Lifetime Health's practice location on file with NPPES is 300 E Bannock St, Boise, ID 83712.
- What is Center for Lifetime Health's phone number?
- The practice phone number listed in the NPPES registry for Center for Lifetime Health is (208) 342-7400.
- Who is the authorized official for Center for Lifetime Health?
- The authorized official listed on Center for Lifetime Health's NPPES record is Colleen Shackelford, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Lifetime Health's NPI active?
- Yes — Center for Lifetime Health's NPI (1689744963) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.