KELLY C. DEMEYERE-COURSEY M.D.
NPI 1700221611
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Q: What is Kelly Demeyere-coursey's NPI number?

The NPI number for Kelly Demeyere-coursey is 1700221611. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Q: What is Kelly Demeyere-coursey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 06, 2013PECOS Enrolled

521 MARTIN LUTHER KING JR WAY, TACOMA FAMILY MEDICINE, TACOMA, WA 98405(253) 792-6680(253) 403-2915 Get Directions Write a Review

NPPES record last updated: May 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly C. Demeyere-coursey M.d. NPPES

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

KELLY C. DEMEYERE-COURSEY M.D. (NPI 1700221611) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700221611

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY C. DEMEYERE-COURSEYCredential: M.D.

Location Address521 MARTIN LUTHER KING JR WAY, TACOMA FAMILY MEDICINETacoma, WA 98405-4238

Mailing Address521 Martin Luther King Jr Way, Tacoma Family MedicineTacoma, WA 98405-4238 · (253) 792-6680 · Fax (253) 403-2915

Phone(253) 792-6680

Fax(253) 403-2915

Sole ProprietorNo

Enumeration DateMay 6, 2013

✔ NPI 1700221611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

521 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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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)

Kelly C. Demeyere-coursey M.d. 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.

JAMES LIN MD

Obstetrics & Gynecology