Individual provider Active NPI

Amanda Lauren Staggs, APRN

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1427772714
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221994 Issued in AR
Practice address
18 W Carolina Ave Apt 302
Memphis, TN 38103-4844
Phone
(901) 831-5896
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32632 TN
Nurse Practitioner 363L00000X 221994 AR Primary

Addresses

Primary practice location

18 W Carolina Ave Apt 302
Memphis, TN 38103-4844

Mailing address

18 W Carolina Ave Apt 302
Memphis, TN 38103-4844
Phone (901) 831-5896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230711002539 AR Practitioner - Nurse Practitioner 1658730494 Reassigns benefits to 4 organizations
I20260511003070 WA Practitioner - Nurse Practitioner 1658730494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

225 N E Ave
Fayetteville, AR 72701-5226
Phone (877) 522-1275

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone (509) 222-1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32632TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Jun 12, 2023 Accepting new patients
Ideal Option, PLLC CurrentSince Apr 24, 2025 Accepting new patients
St. Francis House Nwa, Inc CurrentSince Jun 12, 2023 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Apr 24, 2025 Accepting new patients

Locations

907 SE Village Loop
Ste 3
Bentonville, AR 72712

1355 Dave Ward Dr
Ste 102
Conway, AR 72034
Phone (346) 907-4805

1100 Lexington Ave
Ste 400
Fort Smith, AR 72901

1820 Central Ave
Ste D
Hot Springs National Park, AR 71901
Phone (501) 463-4627

1432 Braden St
Jacksonville, AR 72076
Phone (501) 982-7460

3637 E Johnson Ave
#B
Jonesboro, AR 72405
Phone (870) 243-4406

5326 W Markham St
Little Rock, AR 72205
Phone (501) 603-9885

2711 W Kingshighway
Ste 10
Paragould, AR 72450

902 W Main St
Russellville, AR 72801

500 S Mount Olive St
Ste 200
Siloam Springs, AR 72761
Phone (479) 524-9550

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 474-7448

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

500 SW 7th St
Ste A105
Renton, WA 98057

500 SW 7th St
Ste A205
Renton, WA 98057

500 SW 7th St
Ste A104
Renton, WA 98057

500 SW 7th St
Ste 205
Renton, WA 98057
Phone (425) 687-7370

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1427772714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W CAROLINA AVE APT 302",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034844",
            "telephone_number": "901-831-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W CAROLINA AVE APT 302",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034844",
            "telephone_number": "901-831-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32632",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "221994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.