Kyle Ambrose Staggers, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002290 Issued in VA

Practice address

Jamerson Athletic Center Room 160 21 Beamer Way
Blacksburg, VA 24061-0001

Phone

(540) 231-6410

NPI assigned

Jan 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1306354642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMERSON ATHLETIC CENTER ROOM 160 21 BEAMER WAY",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240610001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMERSON ATHLETIC CENTER ROOM 160 21 BEAMER WAY",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240610001",
            "telephone_number": "540-231-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "KYLE",
        "middle_name": "AMBROSE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Spence, D.O.
• Lauren Patricia Sprague, MD
• Kasandra Bowles St. Clair, D.P.T.
• David St. John, LCSW
• Thomas Stack
• David J Stephen, DO
• Paula Stevens, PT
• Stillpoint Osteopathic Medicine
• Robert Stockburger, MD
• David Bruce Stoeckle, M.D.

• Athletic Trainer in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.