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

Kelly Marie Knickerbocker, MSNARNPPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1427304138

Kelly Marie Knickerbocker, MSNARNPPMHNP is a Psychiatric/Mental Health Nurse Practitioner in Lake Forest Park, Washington. Practices as a sole proprietor and works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012

Practice location Address checks out

16710 39th Ave NE
Lake Forest Park, WA 98155
Phone: (425) 568-7608
Fax: (425) 669-3216
Show map & directions

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

Additional practice locations (2)

  • 3510 Steelhammer Lane, Centralia, WA 98531-1532 — (360) 623-8020
  • 20126 Ballinger Way Ne # 89, Shoreline, WA 98155-1117 — (425) 568-7608

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP 60448879 (WA)

Record details

NPI number1427304138
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNARNPPMHNP
Sole proprietorYes
NPI enumeratedJuly 31, 2012
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Other providers in Lake Forest Park