Individual provider Active NPI

Chinyelu Ada Duxbury, D.O.

  • Adult Medicine Physician
  • Gig Harbor, WA
National Provider Identifier
1669463048
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OP1584 Issued in WA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OP1584WAMDAdult 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.

Verify at the official NPI Registry.