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KEYSTONE TIDES, PLLC
NPI 1306649884
Nurse Practitioner - Psychiatric/Mental Health in Port Angeles, WA

Active since March 31, 2025
115 E RAILROAD AVE STE 203, PORT ANGELES, WA 98362(425) 400-8602(425) 433-9177 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keystone Tides, Pllc NPPES

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

KEYSTONE TIDES, PLLC (NPI 1306649884) is a healthcare organization registered as a psychiatric/mental health in Port Angeles, Washington and active in the NPI registry since March 2025. The organization lists Jessica Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1306649884
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKEYSTONE TIDES, PLLC
Location Address115 E RAILROAD AVE STE 203Port Angeles, WA 98362-2925
Mailing Address132 Deer Park Rd # 21Port Angeles, WA 98362-7185 · (425) 400-8602 · Fax (425) 433-9177
Phone(425) 400-8602
Fax(425) 433-9177
Organization SubpartNo
Authorized OfficialJessica JohnsonOwner · (303) 775-0065
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1306649884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
115 E RAILROAD AVE STE 203, Port Angeles, WA 98362
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Accepted Insurance

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LEE JOHNSON ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
115 E RAILROAD AVE STE 203
PORT ANGELES, WA 98362
Clallam County (425) 400-8602
DR. ROBERT CHRISTOPHER COTNER ND
Naturopath
115 E RAILROAD AVE STE 203
PORT ANGELES, WA 98362
Clallam County (425) 400-8602

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 Keystone Tides, PLLC's NPI number?

The NPI number for Keystone Tides, PLLC is 1306649884. It was assigned to this organization in the NPPES registry on March 31, 2025.

Where is Keystone Tides, PLLC located?

Keystone Tides, PLLC is located at 115 E Railroad Ave Ste 203, Port Angeles, WA 98362. The listed phone number is (425) 400-8602.

What is Keystone Tides, 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 Keystone Tides, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Keystone Tides, 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 Keystone Tides, PLLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.