Active NPI
Makenna Jane Staggers
- Speech-Language Pathologist
- Castle Hayne, NC
National Provider Identifier
1376453431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30005619
- Practice address
- 3921 Roger Haynes Dr
Castle Hayne, NC 28429-5681 - Phone
- (910) 602-4046
- NPI assigned
- Sep 10, 2026
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30005619 | NC | Primary |
Addresses
Primary practice location
3921 Roger Haynes Dr
Castle Hayne, NC 28429-5681
Mailing address
1221 Pattison St
Wilmington, NC 28412-6127
Phone (304) 813-0171
Other practice location 1
5001 Oriole Dr
Wilmington, NC 28403-1926
Phone (910) 350-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1376453431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PATTISON ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126127",
"telephone_number": "304-813-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 ROGER HAYNES DR",
"city": "CASTLE HAYNE",
"state": "NC",
"postal_code": "284295681",
"telephone_number": "910-602-4046"
}
],
"practiceLocations": [
{
"address_1": "5001 Oriole Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284031926",
"country_code": "US",
"telephone_number": "910-350-2058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAGGERS",
"first_name": "MAKENNA",
"middle_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30005619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Hayne, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.