Individual provider Active NPI

Jacqueline Stagg, BC-HIS, CDP

  • Hearing Instrument Specialist
  • Biddeford, ME
National Provider Identifier
1700296167
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
DL445 Issued in ME
Practice address
24 W Cole Rd Ste 102
Biddeford, ME 04005-9404
Phone
(207) 494-3005
Fax
(207) 331-9711
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HES295 MA
Hearing Instrument Specialist 237700000X 063.0134066 VT
Audiology Assistant 2355A2700X AUA14 MA
Hearing Instrument Specialist 237700000X DL445 ME Primary

Addresses

Primary practice location

24 W Cole Rd Ste 102
Biddeford, ME 04005-9404

Mailing address

24 W Cole Rd Ste 102
Biddeford, ME 04005-9404
Phone (207) 494-3005

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

LicenseStateTypeSpecialty
14MAMDAudiology Assistant
295MAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1700296167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W COLE RD STE 102",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059404",
            "telephone_number": "207-494-3005",
            "fax_number": "207-331-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W COLE RD STE 102",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059404",
            "telephone_number": "207-494-3005",
            "fax_number": "207-331-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "JACQUELINE",
        "credential": "BC-HIS, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "HES295",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VT",
            "license": "063.0134066",
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "MA",
            "license": "AUA14",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "DL445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.