NPI age
20 years
Enumerated 2005-07-14
● Active
Type 1 · Individual
Heather Nicole Knutson, N.P.
Knutson is 1 of 6 dermatology providers in Eagle and 1 of 102 in Idaho.
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
1605 E Riverside Drive
Eagle, ID 836166237
Mailing address
1605 E Riverside Drive
Eagle, ID 836166237
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00748833 | RAILROAD MEDICARE 08/01/09 |
| 01 (ID) | NP 672A | NP LICENSE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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