Individual provider Active NPI

Richard Thomas Knowlton, NP

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1174513477
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60607171 Issued in WA
Practice address
10217 125TH Street CT E FL 2
Puyallup, WA 98374-2761
Phone
(253) 864-4550
Fax
(253) 864-4558
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60607171 WA Primary
Family Nurse Practitioner 363LF0000X 123413-4405 UT

Addresses

Primary practice location

10217 125TH Street CT E FL 2
Puyallup, WA 98374-2761

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

3851 Roger Brooke DR
Brooke Army Medical Center
Fort Sam Houston, TX 78234-6200
Phone (210) 916-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002199 WA Practitioner - Nurse Practitioner 3779871587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10217 125TH St CT E
FL 2
Puyallup, WA 98374-2761
Phone (253) 864-4550

2600 Compass Rd
Glenview, IL 60026-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
123413-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers Family CurrentSince Sep 24, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 24, 2025 Accepting new patients
Sea Mar Community Health Centers PastSince Jun 23, 2024 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations (25 of 36)

1813 Sumner Ave
Aberdeen, WA 98520
Phone (360) 538-1293

118 S Parkway Ave
Battle Ground, WA 98604
Phone (360) 342-8050

3801 150th Ave SE
Bellevue, WA 98006
Phone (425) 460-7140

4455 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 671-3225

14434 Ambaum Blvd SW
Ste 5
Burien, WA 98166
Phone (206) 244-9482

515 W Main St
Elma, WA 98541
Phone (360) 482-5298

1920 100th St SE
Ste B
Everett, WA 98208
Phone (425) 312-0202

6884 Hannegan Rd
Everson, WA 98247
Phone (360) 354-0766

31405 18th Ave S
Federal Way, WA 98003
Phone (253) 681-6600

233 2nd Ave S
Kent, WA 98032
Phone (206) 436-6380

669 Woodland Square Loop SE
Lacey, WA 98503
Phone (360) 359-4840

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
#1
Monroe, WA 98272
Phone (360) 282-3885

125 N 18th St
Ste A
Mount Vernon, WA 98273
Phone (360) 428-3068

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

597 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-2427

3622 Ensign Rd NE
Olympia, WA 98506
Phone (360) 742-5000

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

10217 125th Street Ct E
Fl 2
Puyallup, WA 98374
Phone (253) 864-4550

1040 S Henderson St
Seattle, WA 98108
Phone (206) 763-5210

9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

9635 Des Moines Memorial Dr
Seattle, WA 98108
Phone (206) 474-2001

225 176th St S
Spanaway, WA 98387
Phone (253) 240-2130

Interoperability endpoints

  • Direct secure messaging: rknowlton861950@direct.multicare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174513477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 125TH STREET CT E FL 2",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742761",
            "telephone_number": "253-864-4550",
            "fax_number": "253-864-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke DR",
            "address_2": "Brooke Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782346200",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60607171",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "123413-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.