Active NPI
Nathan Staggs
- Clinical Social Worker
- Spokane Valley, WA
National Provider Identifier
1578042552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1107 N Van Marter Rd
Spokane Valley, WA 99206-4831 - Phone
- (509) 255-3958
- NPI assigned
- Aug 9, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1107 N Van Marter Rd
Spokane Valley, WA 99206-4831
Mailing address
1107 N Van Marter Rd
Spokane Valley, WA 99206-4831
Phone (509) 255-3958
Other practice location 1
9300 NE Oak View Dr
Vancouver, WA 98662-6157
Phone (360) 567-2211
Other practice location 2
14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581
Other practice location 3
1101 N Argonne Rd
Spokane Valley, WA 99212-2699
Phone (509) 838-4651
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1578042552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 N VAN MARTER RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064831",
"telephone_number": "509-255-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 N VAN MARTER RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064831",
"telephone_number": "509-255-3958"
}
],
"practiceLocations": [
{
"address_1": "9300 NE Oak View Dr",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626157",
"country_code": "US",
"telephone_number": "360-567-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14600 NW Cornell Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972295442",
"country_code": "US",
"telephone_number": "503-645-3581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 N Argonne Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992122699",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAGGS",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.