ELIZABETH KETCHUM
NPI 1295236982
Pediatrics - Neonatal-Perinatal Medicine in Tacoma, WA

Q: What is Elizabeth Ketchum's NPI number?

The NPI number for Elizabeth Ketchum is 1295236982. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Elizabeth Ketchum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Ketchum was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2018PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(301) 295-4900 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jul 31, 2024, Aug 12, 2023 and 1 more (4 updates tracked since 2018).

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About Elizabeth Ketchum NPPES

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

ELIZABETH KETCHUM (NPI 1295236982) is an individual neonatal-perinatal medicine provider in Tacoma, Washington, licensed in Virginia (0101267984) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295236982

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameELIZABETH KETCHUM

Location Address9040 JACKSON AVETacoma, WA 98431-0004

Mailing Address9040 Jackson AveTacoma, WA 98431-0001

Phone(301) 295-4900

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1295236982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in VA · 0101267984

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 0101267984 (VA)

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ketchum 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.

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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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered