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

Shaley Knickerbocker

Individual provider Emergency Registered Nurse · NPI 1962226126

Shaley Knickerbocker is an Emergency Registered Nurse in Shawnee Mission, Kansas. Licensed in Kansas. Registered with an NPI since 2024.

Licensed in
KS
In the registry since
2024

Practice location Address checks out

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-7400
Show map & directions

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

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 138424 (KS)

Record details

NPI number1962226126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address514 Flame Way, Baldwin City, KS 66006-4168

Other providers in Shawnee Mission