KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427304138

KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) is a healthcare provider. based in Kirkland, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials MSN ARNP PMHNP. They hold a License No. AP 60448879 (WA). The NPI Number for KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) is 1427304138

Main info

Female
Sole Proprietor
Name
KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP)
NPI
1427304138
Phone
(206) 945-7512
Address
11411 NE 124TH ST
Enumeration Date
31 July 2012
Last Update Date
30 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP)

  • 11411 NE 124TH ST

    SUITE 190

    KIRKLAND, WA 980344314

    Phone: (206) 945-7512

    Fax: (425) 823-8235

    Type: Mailing

  • 23007 LAKEVIEW DR UNIT A203

    MOUNTLAKE TERRACE, WA 980432378

    Phone: (425) 954-3330

    Type: Location

  • 20126 BALLINGER WAY NE

    89

    SHORELINE, WA 98155

    Phone: (206) 507-0666

    Fax: (425) 669-3216

    Type: Mailing

  • 16710 39TH AVE NE

    LAKE FOREST PARK, WA 98155

    Phone: (425) 568-7608

    Fax: (425) 669-3216

    Type: Location

  • 20126 Ballinger Way NE # 89

    Shoreline, WA 981551117

    Phone: (425) 568-7608

    Fax: (425) 669-3216

    Type: Location

  • 3510 Steelhammer Lane

    Centralia, WA 985311532

    Phone: (360) 623-8020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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Frequently asked questions

What identifier follows KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) across health systems?
The NPI 1427304138 uniquely identifies KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) in U.S. healthcare data.
Quick check: is KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) active?
Public NPPES data shows KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) with an active NPI status right now.
What type of care does KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) provide?
KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP)?
KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP) shows a connection to Kirkland, Washington in registry-derived data.
Can I export KELLY MARIE KNICKERBOCKER (MSN ARNP PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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