Active NPI
Michael E Staggs Jr., LPN
- Licensed Practical Nurse
- Lebanon, TN
National Provider Identifier
1538024914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 92983
- Practice address
- 3019 Sherwood LN
Lebanon, TN 37090-1038 - Phone
- (931) 335-0218
- NPI assigned
- Dec 18, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 92983 | TN | Primary |
Addresses
Primary practice location
3019 Sherwood LN
Lebanon, TN 37090-1038
Mailing address
3019 Sherwood LN
Lebanon, TN 37090-1038
Phone (931) 335-0218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92983 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1538024914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 SHERWOOD LN",
"city": "LEBANON",
"state": "TN",
"postal_code": "370901038",
"telephone_number": "931-335-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 SHERWOOD LN",
"city": "LEBANON",
"state": "TN",
"postal_code": "370901038",
"telephone_number": "931-335-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGS",
"first_name": "MICHAEL",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "92983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.