| Steven Jon Knott, APRN, PMHNP-BC | |
| 6348 W Emerald St, Boise, ID 83704-8732 | |
| (208) 302-0900 | |
| (208) 302-0955 | 
| Full Name | Steven Jon Knott | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 6348 W Emerald St, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093315236 | NPI | - | NPPES | 
| Entity Name | Well Coast Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881245231 PECOS PAC ID: 4587094826 Enrollment ID: O20200714002259 | 
| Entity Name | Light Side Wellness Co | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710660956 PECOS PAC ID: 4284073669 Enrollment ID: O20240418000237 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Steven Jon Knott, APRN, PMHNP-BC Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Steven Jon Knott, APRN, PMHNP-BC 6348 W Emerald St, Boise, ID 83704-8732 Ph: (208) 302-0900 | 
| Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
| Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
| Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
| Jennifer Woodburn,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
| Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
| Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
| Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |