Active NPI
Kevin A Tagle, CRNA
- Certified Registered Nurse Anesthetist
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3179872
- Practice address
- 1261 S Tamiami TRL
Sarasota, FL 34239-2219 - Phone
- (941) 366-2360
- Fax
- (941) 366-3123
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3179872 | FL | Primary |
Addresses
Primary practice location
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Mailing address
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone (941) 366-2360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2887 | Other | FL | BLUE SHIELD OF FL |
| P00174283 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5741 Bee Ridge Rd
Suite 100
Sarasota, FL 34233-5060
Phone (941) 342-1303
8858 Bloomfield Blvd
Sarasota, FL 34238-4453
Phone (469) 437-3564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3179872 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakewood Ranch Anesthesia PL | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Anesthesia Solutions of Florida II, LLC | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aurora Anesthesia LLC | Current | Accepting new patients | |
| Sarasota Anesthesia | Past | Accepting new patients |
Locations
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
5741 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 342-1303
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
3201 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-5476
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1770336299
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Anesthesiology Physician
- Lakewood Ranch, FL
- NPI 1932157989
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Titusville, FL
- NPI 1386216844
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245663509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831292812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-2360",
"fax_number": "941-366-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-2360",
"fax_number": "941-366-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGLE",
"first_name": "KEVIN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "3179872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FL",
"identifier": "G2887",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00174283",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.