Kelly Marie Knickerbocker
MSN RN PMHNP | Nurse Practitioner - Psych/Mental Health
23007 Lakeview Dr Unit A203, Mountlake Terrace
Washington, 98043-2378
425-954-3330
Kelly Marie Knickerbocker is a Mountlake Terrace, Washington based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Kelly Marie Knickerbocker is AP 60448879 for Psych/Mental Health in Washington. Her current practice location is 23007 Lakeview Dr Unit A203, Mountlake Terrace. Patients can reach her at 425-954-3330. Kelly Marie Knickerbocker is MSN RN PMHNP with specialization in Psych/Mental Health 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: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | MSN RN PMHNP |
| Practice Address: | 23007 Lakeview Dr Unit A203, Mountlake Terrace,
Washington, 98043-2378 |
| Phone: | 425-954-3330 |
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: | 07 Dec, 2023 |
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 | 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
11411 Ne 124th St, Suite 190
Kirkland, Washington |
| Zip: | 98034-4314 |
| Phone Number: | 206-945-7512 |
| Fax Number: | 425-823-8235 |
Patients can reach Kelly Marie Knickerbocker at
23007 Lakeview Dr Unit A203, Mountlake Terrace, Washington or can
call to book an appointment on 425-954-3330.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.