Active NPI
Taylor Page Duplessis, MD
- Pediatrics Physician
- Tacoma, WA
National Provider Identifier
1275030942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33849
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-1702 - Phone
- (253) 968-0117
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 33849 | NE | |
| Pediatrics Physician | 208000000X | 33849 | NE | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-1702
Mailing address
4076 Neely Road
Fort Wainwright, AK 99703
Phone (907) 361-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529004159 | WA | Order and Referring Only - Pediatric Medicine | 2961972989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33849 | NE | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1275030942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311702",
"telephone_number": "253-968-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLESSIS",
"first_name": "TAYLOR",
"middle_name": "PAGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2024-08-06",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NE",
"license": "33849",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "33849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.