MS. MICHELLE TAGLE LAGUA (NPI# 1154761906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154761906 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE TAGLE LAGUA |
| Credential | PA-C |
| Practice Address |
15585 Ne 24th St Bellevue WA 98007-3836 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 8882273312 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA22992 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA60710055 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCCPA | 1110545 | 01 |
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | PA60710055 | 01 |
| CA | CALIFORNIA PA COMMITTEE | PA22992 | 01 |
| Street Address |
15585 NE 24TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176395 | Anthony Aaron Meador | Physician Assistant | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2005-12-27 |
| 1427661107 | Ryan Lenz | Pharmacist | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2020-08-24 |
| 1417507856 | Theresa Huong Hoai Nguyen | Pharmacist | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2019-09-18 |
| 1750837548 | John-paul Denham | Registered Nurse | 15585 Ne 24th St, Bellevue, WA 98007 | 2016-08-31 |
| 1043663446 | Thomas Chan | Nurse Practitioner | 15585 Ne 24th St, Bellevue, WA 98007 | 2016-07-20 |
| 1639542921 | Erin Brown | Nurse Practitioner | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2015-11-09 |
| 1811365331 | Samson Chiang | Pharmacist | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2015-09-15 |
| 1063806479 | Darren Freeman | Nurse Practitioner | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2015-03-24 |
| 1417359415 | Cole Simon Kozloff | Physician Assistant | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2014-09-22 |
| 1346640588 | Phoebe N'gonga Chitila | Nurse Practitioner | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2014-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1174899017 | Amber Tario Gudas | Physician Assistant | 1414 116th Ave Ne Ste E, Bellevue, WA 98004-3801 | 2012-03-26 |
| 1003103565 | Stefany Jeneifer Cameron | Physician Assistant | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-07-06 |
| 1770746505 | Erik H Suh Md Ps | Physician Assistant | 2100 116th Ave Ne, Bellevue, WA 98004 | 2008-07-02 |
| 1700099736 | Michelle M Berlin | Physician Assistant | 2206 Longo Dr Ste 107, Bellevue, NE 68005-2977 | 2007-05-07 |
| 1164569315 | Kristeen Lee Budreau | Physician Assistant | 6639 161st Ave Se, Unit B, Bellevue, WA 98006-5687 | 2007-01-30 |
| 1013012491 | Joseph A. Stangl | Physician Assistant | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2006-09-13 |
| 1528088952 | Patricia L Lightfoot | Physician Assistant | 1135 116th Ave Ne Ste 560, Bellevue, WA 98004-4631 | 2006-07-20 |
| 1831176395 | Anthony Aaron Meador | Physician Assistant | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2005-12-27 |
| 1255338166 | Earl R Thompson | Physician Assistant | 3308 Samson Way, Bellevue, NE 68123-3234 | 2005-07-07 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.