Active NPI
Kim Christopher Knudson DO PLLC
- Child & Adolescent Psychiatry Physician
- Boise, ID
National Provider Identifier
1306724216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- KIM CHRISTOPHER KNUDSON DO PLLC
- Practice address
- 413 N Allumbaugh St Ste 101
Boise, ID 83704-9219 - Phone
- (208) 323-1125
- NPI assigned
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Christopher Knudson, DO, MBA
- Title
- Child & Adolescent Psychiatrist
- Phone
- (208) 221-8088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Mailing address
5310 W Maggio Dr
Meridian, ID 83646-7466
Phone (208) 221-8088
Other practice location 1
2131 S Bonito Way
Meridian, ID 83642-1659
Phone (208) 202-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Meridian, ID
- NPI 1457885527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1306724216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 W MAGGIO DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467466",
"telephone_number": "208-221-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N ALLUMBAUGH ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837049219",
"telephone_number": "208-323-1125"
}
],
"practiceLocations": [
{
"address_1": "2131 S Bonito Way",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836421659",
"country_code": "US",
"telephone_number": "208-202-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIM CHRISTOPHER KNUDSON DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "KNUDSON",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHILD & ADOLESCENT PSYCHIATRIST",
"authorized_official_telephone_number": "208-221-8088",
"authorized_official_credential": "DO, MBA"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.