Active NPI
Monica V Tagle, RNC, MSN, CPNP
- Pediatric Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP111865
- Practice address
- 24200 Ih 10 W Ste 108
San Antonio, TX 78257-1150 - Phone
- (210) 263-9443
- Fax
- (726) 999-2625
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 608549 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP111865 | TX | Primary |
Addresses
Primary practice location
24200 Ih 10 W Ste 108
San Antonio, TX 78257-1150
Mailing address
6418 Eckhert Rd Apt 12219
San Antonio, TX 78240-3059
Phone (210) 685-1054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608549 | TX | MD | Pediatric Nurse Practitioner |
| AP111865 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Spurs Developmental and Behavioral Pediatrics, PLLC | Current | Accepting new patients | |
| Lone Star Urgent Care Managers, LLC | Past | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Past | Accepting new patients |
Locations
24200 W Interstate 10
Ste 109
San Antonio, TX 78257
Phone (210) 263-9443
24200 W Interstate 10
Ste 108
San Antonio, TX 78257
Phone (210) 263-9443
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental - Behavioral Pediatrics Physician
- San Antonio, TX
- NPI 1306583646
-
dba Little Spurs Autism Centers
- Community/Behavioral Health Agency
- San Antonio, TX
- NPI 1659943983
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1629072483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 ECKHERT RD APT 12219",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403059",
"telephone_number": "210-685-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24200 IH 10 W STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571150",
"telephone_number": "210-263-9443",
"fax_number": "726-999-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGLE",
"first_name": "MONICA",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "RNC, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "608549",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP111865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.