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
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.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.