DR. KRISTIN KNICKERBOCKER MD
NPI 1962259259
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL
About Dr. Kristin Knickerbocker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTIN KNICKERBOCKER MD (NPI 1962259259) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Deerfield Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kristin Knickerbocker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
FT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
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 Kristin Knickerbocker's NPI number?
The NPI number for Kristin Knickerbocker is 1962259259. It was assigned to this individual provider in the NPPES registry on May 3, 2024.
Where is Kristin Knickerbocker located?
Kristin Knickerbocker practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 847-4357.
What is Kristin Knickerbocker's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kristin Knickerbocker enrolled in Medicare?
Yes. Kristin Knickerbocker is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kristin Knickerbocker was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Kristin Knickerbocker, MD · NPI 1962259259
Student in an Organized Health Care Education/Training Program provider in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since May 3, 2024.
## Identity
- **NPI:** 1962259259 (Entity type: Individual)
- **Enumerated:** May 3, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 S ANDREWS AVE, Fort Lauderdale, FL 33316-2510
- **Phone:** (954) 847-4357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962259259) · Data from the CMS NPPES public registry.