Angelique Mello Staggs, LMT, NBCMTB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

THR-065184 Issued in KS

Practice address

10841 W 87TH St Ste 200
Overland Park, KS 66214-1660

Phone

(913) 353-3377

Fax

(913) 353-3401

NPI assigned

Jan 21, 2020

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knudson & Kadolf Wellness Solutions, Inc.

  • Chiropractor
  • Overland Park, KS
  • NPI 1801207691
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1760012512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 HALSEY ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162029",
            "telephone_number": "816-729-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 W 87TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141660",
            "telephone_number": "913-353-3377",
            "fax_number": "913-353-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8335 N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641522041",
            "country_code": "US",
            "telephone_number": "816-741-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "ANGELIQUE",
        "middle_name": "MELLO",
        "credential": "LMT, NBCMTB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2009024312",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": "THR-065184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MASSAGE THERAPY ASSOCIATION",
            "identifier": "1342622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "597129-10",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF OVERLAND PARK",
            "identifier": "THR-065184",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI BOARD OF THERAPEUTIC MASSAGE",
            "identifier": "2009024312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blair Stacy
• Jessica Stacy, PSY.D.
• Kelly Stacy
• Andrea Stafos, ANP-BC
• Stages of Therapy LLC
• Jason E Stahl, MD
• Lloyd D Stahl, M.D.
• Dania Stainbrook, APRN
• Sarah Stakley, AGNP
• Kathleen Marie Staley, M.A., CCC-SLP

• Massage Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Massage Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.