DR. ALEXIS YAGODA DO
NPI 1114712551
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 14, 2025PECOS Enrolled

1112 6TH AVE, TACOMA, WA 98405(253) 792-6680 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Alexis Yagoda Do NPPES

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

DR. ALEXIS YAGODA DO (NPI 1114712551) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114712551

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ALEXIS YAGODACredential: DO

Location Address1112 6TH AVETacoma, WA 98405-4040

Mailing Address1112 6th Ave, Mailstop 1112-3-tfmTacoma, WA 98405-4040 · (253) 792-6680 · Fax (253) 403-2915

Phone(253) 792-6680

Sole ProprietorNo

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1114712551 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.

1112 6TH AVE, Tacoma, WA 98405

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexis Yagoda 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.