Annette Stagg, M.S.N., A.R.N.P.

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

74284 Issued in KS

Practice address

480 S Rogers Rd
Olathe, KS 66062-1706

Phone

(913) 324-3642

Fax

(913) 780-3387

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1073781407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S ROGERS RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621706",
            "telephone_number": "913-324-3642",
            "fax_number": "913-780-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S ROGERS RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621706",
            "telephone_number": "913-324-3642",
            "fax_number": "913-780-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "ANNETTE",
        "credential": "M.S.N., A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11474144",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMAP",
            "identifier": "100423870",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Spurlock, M.A. CCC-SLP
• Margie Sringfield
• St. Anthony'S Senior Care Hospital Olathe, LLC
• Faye A. Staab, M.A, CCC-LICENSED
• Stacey Hall
• Andrea Felice Staley
• Jo Ann Staley
• Timothy E Standlee, MD
• Shawn M. Stanley, MD
• Dusan Aleksandar Stanojevic, M.D.

• All providers in Olathe, KS
• Psychiatric/Mental Health Clinical Nurse Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.