Madison Staines

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

10727 Domain Dr Apt 177
Austin, TX 78758-5044

Phone

(404) 313-8389

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1558077495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 DOMAIN DR APT 177",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585044",
            "telephone_number": "404-313-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 DOMAIN DR APT 177",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585044",
            "telephone_number": "404-313-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINES",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stage of Life Counseling LLC
• Andrea Deveau Stager
• Brittany Kristine Stager, PT
• Matthew Blake Stahlman, M.D.
• Leah Barnett Staines, MD
• Stakes Chiropractic Center
• Douglas Stakes, D.C.
• Mandy Stalcup, LCSW
• Tanya Stalder
• Carolyn June Stalling, MSW, LMSW

• Nutritionist in Austin, TX
• Providers in Austin, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.