ANDREW MYLES TAGLE DO
NPI 1003502303
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Q: What is Andrew Tagle's NPI number?

The NPI number for Andrew Tagle is 1003502303. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Andrew Tagle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Tagle was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 11, 2023PECOS Enrolled

819 S 13TH ST, MOUNT VERNON, WA 98274(360) 814-6230 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Apr 11, 2023 (2 updates tracked since 2023).

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About Andrew Myles Tagle Do NPPES

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

ANDREW MYLES TAGLE DO (NPI 1003502303) is an individual student in an organized health care education/training program in Mount Vernon, Washington, licensed in Washington (OL61434148) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003502303

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW MYLES TAGLECredential: DO

Location Address819 S 13TH STMount Vernon, WA 98274-4112

Mailing Address819 S 13th StMount Vernon, WA 98274-4112 · (360) 814-6230

Phone(360) 814-6230

Sole ProprietorNo

Enumeration DateApril 11, 2023

Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1003502303 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

License✔ Licensed in WA · OL61434148

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.

819 S 13TH ST, Mount Vernon, WA 98274

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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)

Andrew Myles Tagle Do 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.

DR. NAOMI S HOYLE MD

Family Medicine