Kelly Marie Knickerbocker
MSN ARNP PMHNP | Nurse Practitioner - Psych/Mental Health
16710 39th Ave Ne, Lake Forest Park
Washington, 98155
425-568-7608
Kelly Marie Knickerbocker is a Lake Forest Park, Washington based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Kelly Marie Knickerbocker is AP 60448879 for Psych/Mental Health NP in Washington. Her current practice location is 16710 39th Ave Ne, Lake Forest Park. Patients can reach her at 425-568-7608 or can fax her at 425-669-3216. Kelly Marie Knickerbocker is MSN ARNP PMHNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1427304138.
Kelly Marie Knickerbocker provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Kelly Marie Knickerbocker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Marie Knickerbocker |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | MSN ARNP PMHNP |
| Practice Address: | 16710 39th Ave Ne, Lake Forest Park,
Washington, 98155 |
| Phone: | 425-568-7608 |
| Fax: | 425-669-3216 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1427304138 |
| NPI Enumeration Date: | 31 Jul, 2012 |
| NPI Last Update On: | 30 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Marie Knickerbocker are as mentioned below.
| License Number | Specialization | State | Status | |
| AP 60448879 | Psych/Mental Health NP | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Marie Knickerbocker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1710599158 | Other | | ORGANIZATIONAL NPI 2 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Marie Knickerbocker
20126 Ballinger Way Ne, 89
Shoreline, Washington |
| Zip: | 98155 |
| Phone Number: | 206-507-0666 |
| Fax Number: | 425-669-3216 |
Patients can reach Kelly Marie Knickerbocker at
16710 39th Ave Ne, Lake Forest Park, Washington or can
call to book an appointment on 425-568-7608.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.