SearchWashingtonPsychiatric/Mental Health Nurse Practitioner

Kelly Knickerbocker, MSN ARNP PMHNP

NPI 1427304138 · on the registry since 2012 · sole proprietor

Practice

Address
16710 39th Ave Ne
Lake Forest Park, WA 98155
Phone
(425) 568-7608
Fax
(425) 669-3216

Additional practice sites

  • 3510 Steelhammer Lane, Centralia, WA
  • 20126 Ballinger Way Ne # 89, Shoreline, WA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington