Keystone Tides, PLLC
NPI 1306649884 · Psychiatric/Mental Health Nurse Practitioner · Port Angeles, WA
Keystone Tides, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Port Angeles, WA (NPI 1306649884).
Provider details
- NPI number
- 1306649884
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Johnson, Owner(303) 775-0065
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-30
Frequently asked questions
- What is Keystone Tides, PLLC's NPI number?
- Keystone Tides, PLLC's National Provider Identifier (NPI) is 1306649884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keystone Tides, PLLC?
- Keystone Tides, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keystone Tides, PLLC located?
- Keystone Tides, PLLC's practice location on file with NPPES is 115 E Railroad Ave Ste 203, Port Angeles, WA 98362-2925.
- What is Keystone Tides, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Keystone Tides, PLLC is (425) 400-8602.
- Who is the authorized official for Keystone Tides, PLLC?
- The authorized official listed on Keystone Tides, PLLC's NPPES record is Jessica Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keystone Tides, PLLC's NPI active?
- Yes — Keystone Tides, PLLC's NPI (1306649884) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.