Active NPI
Amanda Lauren Staggs, APRN
- Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 221994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32632 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Ideal Option, PLLC | Current | Accepting new patients | |
| St. Francis House Nwa, Inc | Current | Accepting new patients | |
| Ideal Telemedicine Services, LLC | Current | 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.
-
dba Community Clinic Central Junior High
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1821838996
-
- Rural Health Clinic/Center
- Searcy, AR
- NPI 1992041370
-
dba Community Clinic West Fork
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
dba Community Clinic Siloam Springs Medical
- Federally Qualified Health Center (FQHC)
- Siloam Springs, AR
- NPI 1417197245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.