Active NPI
Thomas P Kennedy, MD
- Anesthesiology Physician
- Puyallup, WA
National Provider Identifier
1023092756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00019899
- Practice address
- 400 E Pioneer
Ste 208
Puyallup, WA 98372-3255 - Phone
- (253) 445-5828
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00019899 | WA | Primary |
Addresses
Primary practice location
400 E Pioneer
Ste 208
Puyallup, WA 98372-3255
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019899 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023092756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E PIONEER",
"address_2": "STE 208",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723255",
"telephone_number": "253-445-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00019899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.