Taylor R Dusa, RN

Primary specialty

Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X

License

202468 Issued in OK

Practice address

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001

Phone

(253) 968-1110

NPI assigned

Nov 30, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1154089944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 NATOOKA CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985137715",
            "telephone_number": "520-289-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSA",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OK",
            "license": "202468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Logan Dorner
• Kristina Omalley Dubow, CNM, APRN, RN
• James Lenard Duncan II, PA-C
• Nichelle Duncan, PH.D.
• Richard Murray Durbin
• Laksha Dutt, DPM
• Rachel Nell Dyal
• John Bowen Eastlake, O.D.
• Gina Liane Eberhardt, ARNP, AGCNS-BC
• Katelynn Blume Eberle, PHARMD

• Inpatient Obstetric Registered Nurse in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Inpatient Obstetric Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.