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DR. TANNER J. HENDERSON DO
NPI 1659169530
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since April 29, 2025PECOS Enrolled
819 S 13TH ST, MOUNT VERNON, WA 98274(360) 814-6230 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tanner J. Henderson Do NPPES

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

DR. TANNER J. HENDERSON DO (NPI 1659169530) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659169530
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TANNER J. HENDERSONCredential: DO
Location Address819 S 13TH STMount Vernon, WA 98274-4112
Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127
Phone(360) 814-6230
Sole ProprietorNo
Enumeration DateApril 29, 2025
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1659169530 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.
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)

Dr. Tanner J. Henderson 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.

ANDREW MYLES TAGLE DO
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
DR. NAOMI S HOYLE MD
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
STANLEY JOSEPH MOORE MD
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
ALLISON LEA ABRESCH-MEYER D.O.
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
MATTHEW HALL DO
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
BENJAMIN MCLAUGHLIN D.O.
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
ATHENA CHEN MD
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
EMILY KUNZ-BROCKMAN DO
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230

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 Tanner Henderson's NPI number?

The NPI number for Tanner Henderson is 1659169530. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Tanner Henderson located?

Tanner Henderson practices at 819 S 13th St, Mount Vernon, WA 98274. The listed phone number is (360) 814-6230.

What is Tanner Henderson's specialty?

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

Is Tanner Henderson enrolled in Medicare?

Yes. Tanner Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Henderson was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.