Active NPI
Christina L Stagg, R.D., L.D.
- Registered Dietitian
- Port Neches, TX
National Provider Identifier
1265795215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82137
- Practice address
- 605 Drawhorn Dr
Port Neches, TX 77651-4405 - Phone
- (409) 293-0049
- NPI assigned
- Jun 23, 2012
- Reactivated
- Dec 13, 2023
- Last updated
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82137 | TX | Primary |
Addresses
Primary practice location
605 Drawhorn Dr
Port Neches, TX 77651-4405
Mailing address
605 Drawhorn Dr
Port Neches, TX 77651-4405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82137 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1265795215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 DRAWHORN DR",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776514405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 DRAWHORN DR",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776514405",
"telephone_number": "409-293-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGG",
"first_name": "CHRISTINA",
"middle_name": "L",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-23",
"last_updated": "2023-12-13",
"certification_date": "2023-10-06",
"deactivation_date": "2023-10-06",
"reactivation_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Neches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.