Kevin Stage, LPN

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

605 Old Savannah Dr
Long Beach, MS 39560-9600

Phone

(870) 204-1430

NPI assigned

Apr 19, 2025

Last updated

Apr 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1396531893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD SAVANNAH DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395609600",
            "telephone_number": "870-204-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD SAVANNAH DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395609600",
            "telephone_number": "870-204-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGE",
        "first_name": "KEVIN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mississippi Regional Center
• South Mississippi Regional Center
• South Mississippi Regional Center
• Southern Living Assistance Services
• John Stage
• Kristina Stewart, LPN
• Jamie Rachael Taylor, MABC, PLCP
• David Price Tedford Jr., PHARMD
• The Healing Path, LLC
• Andrea Lyn Todd, PSY.D.

• Attendant Care Provider in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Attendant Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.