Active NPI
Heather Knutson, M.S., CC-A/SLP, FAAA
- Audiologist
- Redlands, CA
National Provider Identifier
1215280227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD 2186
- Practice address
- 255 Terracina Blvd Ste 201
Redlands, CA 92373-4881 - Phone
- (909) 792-8500
- Fax
- (909) 793-2502
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD 2186 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP 17197 | CA |
Addresses
Primary practice location
255 Terracina Blvd Ste 201
Redlands, CA 92373-4881
Mailing address
255 Terracina Blvd Ste 201
Redlands, CA 92373-4881
Phone (909) 792-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD 2186 | CA | MD | Audiologist |
| SLP 17197 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1215280227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD STE 201",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734881",
"telephone_number": "909-792-8500",
"fax_number": "909-793-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD STE 201",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734881",
"telephone_number": "909-792-8500",
"fax_number": "909-793-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "HEATHER",
"credential": "M.S., CC-A/SLP, FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AUD 2186",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SLP 17197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.