Individual provider Active NPI

Steven Jon Knott, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1093315236
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2671357 Issued in ID
Practice address
6348 W Emerald St
Boise, ID 83704-8732
Phone
(208) 302-0900
Fax
(208) 302-0955
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61127674 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202011153NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2671357 ID Primary

Addresses

Primary practice location

6348 W Emerald St
Boise, ID 83704-8732

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

7412 SW Beaverton Hillsdale Hwy Ste 104
Portland, OR 97225-2167
Phone (888) 831-5806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221103002636 OR Practitioner - Nurse Practitioner 8325452493 Reassigns benefits to 1 organization
I20250805003194 ID Practitioner - Nurse Practitioner 8325452493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

6348 W Emerald St
Boise, ID 83704-8732
Phone (208) 302-0900

7412 SW Beaverton Hillsdale Hwy
Suite 104
Portland, OR 97225-2167
Phone (503) 563-2799

7412 SW Beaverton Hillsdale Hwy 104
Portland, OR 97225-2167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2671357IDMDPsychiatric/Mental Health Nurse Practitioner
202011153NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP61127674WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Light Side Wellness Co. Psychiatric/Mental Health CurrentSince Mar 12, 2024 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health Past Accepting new patients
Alliance Medical Group, LLC PastSince Jul 22, 2025 Accepting new patients

Locations

6348 W Emerald St
Boise, ID 83704
Phone (208) 302-0900

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

2175 NW Raleigh St
Ste 110
Portland, OR 97210
Phone (971) 238-2369

7412 SW Beaverton Hillsdale Hwy
Ste 104
Portland, OR 97225
Phone (503) 563-2799

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1093315236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048732",
            "telephone_number": "208-302-0900",
            "fax_number": "208-302-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7412 SW Beaverton Hillsdale Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972252167",
            "country_code": "US",
            "telephone_number": "888-831-5806",
            "fax_number": "888-572-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "STEVEN",
        "middle_name": "JON",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61127674",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202011153NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "2671357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.