Keystone Tides, PLLC
NPI 1306649884ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Port Angeles, WA
Nurse Practitioner, Psych/Mental Health in Port Angeles, Washington, registered in NPPES in March 2025. The authorized official on file is Jessica Johnson, ARNP, Owner.
Overview
| NPI | 1306649884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other psychiatric nurse practitioners in Port Angeles
- 1710504311
- 1083742845
- 1154859585
- 1518001668
- 1700934288
- 1043808405
- 1457808206
- 1679243059
- 1619452430
- 1639876741
- 1750597803
- 1396929824