KATIES WAY
NPI 1285405522
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Tacoma, WA

Q: What is Katie's Way Tacoma, LLC's NPI number?

The NPI number for Katie's Way Tacoma, LLC is 1285405522. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider is doing business as Katies Way.

Q: What is Katie's Way Tacoma, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Active since January 15, 2024

6704 TACOMA MALL BLVD STE 111, TACOMA, WA 98409(253) 260-3460(253) 397-3443 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Jul 12, 2024 (2 updates tracked since 2024).

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About Katies Way NPPES

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

KATIES WAY (NPI 1285405522) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Tacoma, Washington and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Dupoint and lists Kelly Rae Johnson, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1285405522

Entity TypeOrganization

Primary Taxonomy2084B0040X

Legal Business NameKATIE'S WAY TACOMA, LLC

Location Address6704 TACOMA MALL BLVD STE 111Tacoma, WA 98409-9001

Mailing Address6704 Tacoma Mall Blvd Ste 111Tacoma, WA 98409-9001 · (253) 260-3460 · Fax (253) 397-3443

Phone(253) 260-3460

Fax(253) 397-3443

Organization SubpartNo

Authorized OfficialKelly Rae JohnsonCredentialing Director · (785) 320-6616

Enumeration DateJanuary 15, 2024

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1285405522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedIntegrative MedicineTaxonomy 202D00000X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X

6704 TACOMA MALL BLVD STE 111, Tacoma, WA 98409

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Other Names 1

Doing Business AsKaties Way

Secondary Practice Location 1

Location 11175 CENTRAL DRIVE, SUITE 130DUPOINT, WA 98327 · Phone (253) 260-6521 · Fax (253) 397-3443

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katies Way is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Katies Way, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Darian Hawke, DNP, PMHNP, ARNP,CEN

Nurse Practitioner

NPI 1407553167

6704 TACOMA MALL BLVD STE 111
Tacoma, WA 98409

(253) 260-6521

✔ PECOSSame address

Caleb Jordan

Neuropsychiatry

NPI 1619361904

1200 CENTRE ST
Roslindale, MA 02131

(617) 363-8000

✔ PECOS✔ Accepts Medicare2,503 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Katie's Way Tacoma, LLC's NPI number?

The NPI number for Katie's Way Tacoma, LLC is 1285405522. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider is doing business as Katies Way.

Where is Katie's Way Tacoma, LLC located?

Katie's Way Tacoma, LLC is located at 6704 Tacoma Mall Blvd Ste 111, Tacoma, WA 98409. The listed phone number is (253) 260-3460.

What is Katie's Way Tacoma, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Katie's Way Tacoma, LLC enrolled in Medicare?

Yes. Katie's Way Tacoma, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katie's Way Tacoma, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Katie's Way Tacoma, LLC, in Neuropsychiatry and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Katie's Way Tacoma, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Katie's Way Tacoma, LLC 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 Katie's Way Tacoma, LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.