Deserae Eugena Staggers, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

191676 Issued in OH

Practice address

118 Victor Ave
Niles, OH 44446-1637

Phone

(234) 699-0154

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1821724063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VICTOR AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461637",
            "telephone_number": "234-699-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VICTOR AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461637",
            "telephone_number": "234-699-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "DESERAE",
        "middle_name": "EUGENA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "191676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Speziale
• Tabbethia A Squezello
• Patricia M St Clair
• St. George Medical Practice, Inc.
• Allison St. George, MA,MT-BC,NMT
• Kandra Starks
• Sara G. Stein, LPC, ATR-P, MA
• Anistyn Steiner
• Lily Steiner
• Leane Stertzbach

• Licensed Practical Nurse in Niles, OH
• Providers in Niles, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.