Taylor Phan Deyoe · Taylor Anh Phan · General Practice Physician

9040 Jackson Ave, Tacoma, WA 98431-3983

Overview

Taylor Phan Deyoe is a General Practice Physician practicing in Tacoma, Washington. The National Provider Identifier (NPI) is #1598353856, which was assigned on January 4, 2021, and the registration record was last updated on December 7, 2025. The practitioner's main practice location is at 9040 Jackson Ave, Tacoma, WA 98431-3983; the contact telephone number is 2539680117. The primary taxonomy of Taylor Phan Deyoe is General Practice Physician (208D00000X). Taylor Phan Deyoe is licensed to practice in the state of Virginia (#0102208989).

Provider Information

NPI 1598353856
Entity Type Individual
Provider Name TAYLOR PHAN DEYOE
Other Name TAYLOR ANH PHAN
(Former Name)
Gender Female
Credential DO
Practice Address 9040 Jackson Ave
Tacoma
WA 98431-3983
Practice Telephone 2539680117
Mailing Address 9040 Jackson Ave
Tacoma
WA 98431-0001
Mailing Telephone 2539680117
Certification Date 2025-12-07
Enumeration Date 2021-01-04
Last Update Date 2025-12-07
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208D00000XGeneral Practice0102208989VA

Taxonomy Information

Primary Taxonomy

Code 208D00000X
Taxonomy General Practice Physician
Classification General Practice
Grouping Allopathic & Osteopathic Physicians
Definition: Definition to come...

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Location Information

Street Address 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-3983
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Katelyn Rook 9040 Jackson Ave, Tacoma, WA 78431Military Health Care Provider2026-02-11
Molly Eileen Helie 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-13
Melisa Joseph 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-12
Scott Aaron Clawson 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-13
Ishan Deshmukh 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-18
David Guempel 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-11
William Kretzer 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-25
Jeremy Kenfield 9040 Jackson Ave, Joint Base Lewis Mcchoed, WA 98341Student in an Organized Health Care Education/Training Program2026-03-25
Isaak Lyons 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-16
Joshua David Vandermartin 9040 Jackson Ave, Tacoma, WA 98431-0001Military Health Care Provider2026-02-27
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Donielle Frances Miller-Hesse 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-3983Student in an Organized Health Care Education/Training Program2021-01-08
William Cooper Procter Maloney 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-3983Emergency Medicine Physician2020-04-04

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Richard Lewis Dunn Madigan Army Medical Center I.O. P., Mamc Annex Building 9926 A, Apo, AA 98431Mental Health Counselor2009-09-24
Patrick Tran Joint Base Lewis-Mcchord Dentac, 9900 Lincoln Street 2nd Floor, Tacoma, WA 98431Dentist2022-08-15
Shawn Allen Macleod Building 9040 Fitzsimnons Drive, Madigan Army Medical Center, Tacoma, WA 98431Family Medicine Physician2006-12-15
Paul Andre Vincent Dept of Family Medicine, Madigan Army Med Ctr, Ft Lewis, WA 98431Medical Physician Assistant2006-12-11
Alexandra Michel 9040 A Fitzsimmons, Madigan Army Medical Center - Ob Gyn, Tacoma, WA 98431Advanced Practice Midwife2008-12-02
Madigan Army Medical Ctr Building 11572, 17th and C Street, Fort Lewis, WA 98431Military/U.S. Coast Guard Outpatient Clinic/Center2007-06-25
Misty Hill 9119 Mill Park Ave, Tacoma, WA 98431Dental Assistant2016-08-31
Denise Marie Coyle Madigan ( Dept of Psychiatry), 9040a Fitzsimmons Ave., Tacoma, WA 98431Marriage & Family Therapist2007-04-26
Bianca Gomez Bldg 9900 Lincoln Street, Jblm, WA 98431Dental Assistant2017-10-19
Kristene A Harris Mamc- Ahc Pom, 9040 Jackson Ave, Tacoma, WA 98431Clinical Social Worker2007-08-09
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Providers with similar names

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Thanh Phan Dat Vu 2201 Hempstead Tpke, East Meadow, NY 11554-1859Student in an Organized Health Care Education/Training Program2026-04-14
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Angel Phan 263 Farmington Ave # Lg065, Farmington, CT 06030-1930Student in an Organized Health Care Education/Training Program2026-04-01
Phuong Kim Phan 2468 63rd Ave, Oakland, CA 94605-1411Student in an Organized Health Care Education/Training Program2026-03-19
An-Vi Duc Phan 2420 Plymouth St, Marion, IA 52302-5300Student in an Organized Health Care Education/Training Program2026-03-19
Ann Phan 301 Prospect Ave, Syracuse, NY 13203-1899Student in an Organized Health Care Education/Training Program2026-04-13
Leanne Phan 590 N Vermont Ave, Los Angeles, CA 90004-2115Physician Assistant2026-04-20

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.