Active NPI
Jacqueline Stagg, BC-HIS, CDP
- Hearing Instrument Specialist
- Biddeford, ME
National Provider Identifier
1700296167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- DL445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14 | MA | MD | Audiology Assistant |
| 295 | MA | MD | Hearing 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.