Active NPI
Chinyelu Ada Duxbury, D.O.
- Adult Medicine Physician
- Gig Harbor, WA
National Provider Identifier
1669463048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OP1584
- Practice address
- 4212 19TH Ave NW
Gig Harbor, WA 98335-1447 - Phone
- (253) 853-5852
- Fax
- (253) 851-1538
- NPI assigned
- Nov 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OP1584 | WA | Primary |
Addresses
Primary practice location
4212 19TH Ave NW
Gig Harbor, WA 98335-1447
Mailing address
4212 19TH Ave NW
Gig Harbor, WA 98335-1447
Phone (253) 853-5852
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1584 | WA | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669463048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 19TH AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351447",
"telephone_number": "253-853-5852",
"fax_number": "253-851-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 19TH AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351447",
"telephone_number": "253-853-5852",
"fax_number": "253-851-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUXBURY",
"first_name": "CHINYELU",
"middle_name": "ADA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WA",
"license": "OP1584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, 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.