Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Jessica Knobloch, PMHNP

Individual provider Psychiatry Physician · NPI 1700454287

Carly Jessica Knobloch, PMHNP is a Nurse Practitioner in Bixby, Oklahoma. Qualified in 2021, 5 years ago. Practices with Prophylaxis Healthcare LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

11911 S Memorial Dr
Bixby, OK 74008-2030
Phone: (918) 943-3790
Fax: (918) 943-3793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence RN150943 (LA)

Record details

NPI number1700454287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prophylaxis Healthcare Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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