PORT OF ANGELS PEDIATRICS
NPI 1487186888
Nurse Practitioner - Pediatrics in Port Angeles, WA

Active since April 03, 2017
2844 W EDGEWOOD DR, PORT ANGELES, WA 98363(615) 618-3812 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Port Of Angels Pediatrics NPPES

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

PORT OF ANGELS PEDIATRICS (NPI 1487186888) is a healthcare organization registered as a pediatrics in Port Angeles, Washington and active in the NPI registry since April 2017. The organization lists Kalli Mae Jones, President/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1487186888
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePORT OF ANGELS PEDIATRICS, PC
Location Address2844 W EDGEWOOD DRPort Angeles, WA 98363-9510
Mailing Address2844 W Edgewood DrPort Angeles, WA 98363-9510 · (615) 618-3812
Organization SubpartNo
Authorized OfficialKalli Mae JonesPresident/nurse Practitioner · (360) 460-9493
Enumeration DateApril 3, 2017
NPI 1487186888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WA · AP60691562
2844 W EDGEWOOD DR, Port Angeles, WA 98363

Other Names 1

Doing Business AsPort Of Angels Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
2844 W EDGEWOOD DR
PORT ANGELES, WA 98363

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 Port Of Angels Pediatrics, PC's NPI number?

The NPI number for Port Of Angels Pediatrics, PC is 1487186888. It was assigned to this organization in the NPPES registry on April 3, 2017. The provider is doing business as Port Of Angels Pediatrics.

Where is Port Of Angels Pediatrics, PC located?

Port Of Angels Pediatrics, PC is located at 2844 W Edgewood Dr, Port Angeles, WA 98363. The listed phone number is (615) 618-3812.

What is Port Of Angels Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Port Of Angels Pediatrics, PC was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.