ANNETTE STAGG (NPI# 1073781407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073781407 |
Entity Type | Individual |
Full Name | ANNETTE STAGG |
Credential | M.S.N., A.R.N.P. |
Practice Address |
480 S Rogers Rd Olathe KS 66062-1706 |
Practice Telephone | 9133243642 |
Practice Fax Number | 9137803387 |
Mailing Telephone | 9133243642 |
Mailing Fax Number | 9137803387 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2011-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
74284 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | CAQH | 11474144 | 01 |
KS | KMAP | 100423870 | 01 |
Street Address |
480 S ROGERS RD |
City | OLATHE |
State | KS |
Zip Code | 66062-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043245111 | Jeffrey M Peters | Social Worker | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2006-07-11 |
1205434446 | Kana Marie Love | Counselor | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2020-10-10 |
1881205102 | Mckenna Elfrink | Counselor | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2020-08-11 |
1821607748 | Kelly Corzine | Social Worker | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2020-07-27 |
1932728672 | Abigail Eileen Cattron | Behavioral Analyst | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2020-04-13 |
1295369809 | Austin O'neal | Behavioral Analyst | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2020-02-24 |
1801351325 | Michael Richard Harter | Counselor | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2019-02-08 |
1013489004 | Leslie Berger | Counselor | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2019-01-02 |
1629547922 | Carrie Hatch | Marriage & Family Therapist | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2018-11-15 |
1477038214 | Brianna Fairbanks | Behavioral Analyst | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2018-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
Find all providers in zip 66062 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649331281 | Tamara L Farmer | Clinical Nurse Specialist | 802 West Broadway, Stafford, KS 67578-0309 | 2006-12-13 |
1013904960 | Susan Hasselle | Clinical Nurse Specialist | 900 Massachusetts St, Lawrence, KS 66044-2868 | 2005-10-04 |
1336133032 | Gretchen L Trendel | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2005-09-08 |
1205830783 | Deborah C Murphy | Clinical Nurse Specialist | 9415 E Harry St, Ste 800, Wichita, KS 67207-5084 | 2005-06-13 |
1356345805 | Diane A Gaunt | Clinical Nurse Specialist | 9415 E Harry, Bldg 800, Wichita, KS 67207-5072 | 2005-06-10 |
1609418763 | Sospeter Otieno | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2019-10-10 |
1881094902 | Ashley Melugin | Clinical Nurse Specialist | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2014-08-26 |
1548557564 | Diane G Knapic | Clinical Nurse Specialist | 8000 W 127th St, Overland Park, KS 66213-2714 | 2011-06-29 |
1255483772 | Tamara K Canterbury | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2007-01-17 |
1780786533 | Diane Zadra Drake | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2006-09-02 |
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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.