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KELLY KNICKERBOCKER ARNP PLLC
NPI 1710599758
Nurse Practitioner - Psychiatric/Mental Health in Mountlake Terrace, WA

Active since August 20, 2020
23007 LAKEVIEW DRIVE, A203, MOUNTLAKE TERRACE, WA 98043(425) 954-3330(425) 249-3107 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 7, 2023, Jun 4, 2023, Aug 20, 2020 (3 updates tracked since 2020).

About Kelly Knickerbocker Arnp Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KNICKERBOCKER ARNP PLLC (NPI 1710599758), doing business as Kelly Knickerbocker Arnp, is a healthcare organization registered as a psychiatric/mental health in Mountlake Terrace, Washington and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Kirkland and lists David Swanson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710599758
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKELLY KNICKERBOCKER ARNP PLLC
Location Address23007 LAKEVIEW DRIVE, A203Mountlake Terrace, WA 98043-1117
Mailing Address20126 Ballinger Way Ne, Pmb 89Shoreline, WA 98155-1117 · (425) 954-3330 · Fax (425) 249-3107
Phone(425) 954-3330
Fax(425) 249-3107
Organization SubpartNo
Authorized OfficialDavid SwansonAdministrator · (425) 954-3330
Enumeration DateAugust 20, 2020
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1710599758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
23007 LAKEVIEW DRIVE, Mountlake Terrace, WA 98043
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Other Names 1

Former Legal Business NameKelly Knickerbocker Arnp

Secondary Practice Location 1

Location 111411 NE 124th St Ste 190Kirkland, WA 98034-4318 · Phone (206) 945-7512 · Fax (425) 823-8235

Other Identifiers 1

Other1427304138Provider Npi (npi 1)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Knickerbocker Arnp PLLC's NPI number?

The NPI number for Kelly Knickerbocker Arnp PLLC is 1710599758. It was assigned to this organization in the NPPES registry on August 20, 2020. The provider was formerly known as Kelly Knickerbocker Arnp.

Where is Kelly Knickerbocker Arnp PLLC located?

Kelly Knickerbocker Arnp PLLC is located at 23007 Lakeview Drive A203, Mountlake Terrace, WA 98043. The listed phone number is (425) 954-3330.

What is Kelly Knickerbocker Arnp PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kelly Knickerbocker Arnp PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kelly Knickerbocker Arnp PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Knickerbocker Arnp PLLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.