TRISTA PHELPS
NPI 1205534112
General Practice in Tacoma, WA

Active since February 20, 2023PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2462 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2025, Feb 20, 2023 (2 updates tracked since 2023).

About Trista Phelps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTA PHELPS (NPI 1205534112) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101284235) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205534112
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameTRISTA PHELPS
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-2462
Sole ProprietorNo
Enumeration DateFebruary 20, 2023
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1205534112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101284235
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 JACKSON AVE, Tacoma, WA 98431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trista Phelps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trista Phelps's NPI number?

The NPI number for Trista Phelps is 1205534112. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Trista Phelps located?

Trista Phelps practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2462.

What is Trista Phelps's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Trista Phelps enrolled in Medicare?

Yes. Trista Phelps is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trista Phelps was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.