Alicia Beth Kidd, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61190565 Issued in WA

Practice address

203 W Patison St Ste B
Port Hadlock, WA 98339-8701

Phone

(360) 251-0898

Fax

(360) 251-0863

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lone Cypress Behavioral Health , PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Hadlock, WA
  • NPI 1295481604
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1881173490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 HORIZON RD STE 102",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322104",
            "telephone_number": "888-877-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W PATISON ST STE B",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983398701",
            "telephone_number": "360-251-0898",
            "fax_number": "360-251-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ALICIA",
        "middle_name": "BETH",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61190565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica C Gross, RPH
• Healing Options LLC
• Janet K. Hutchison, P.T.
• James A Jackson, LMP
• Diane Elizabeth Johnson, PH.D.
• Jean C Laskey, RN, LMP
• Robyn Lavergne
• Yishan Li, RPH
• Listening Healing Counseling Center PLLC
• Lone Cypress Behavioral Health , PLLC

• Psychiatric/Mental Health Nurse Practitioner in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.