Individual provider Active NPI

Keionnia Muse Stagg, APRN, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1841067923
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233021 Issued in LA
Practice address
13686 Coursey Blvd Ste a
Baton Rouge, LA 70817-1303
Phone
(225) 246-8000
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 233021 LA Primary

Addresses

Primary practice location

13686 Coursey Blvd Ste a
Baton Rouge, LA 70817-1303

Mailing address

9777 Gov Beauvais Dr
Baton Rouge, LA 70811-2006
Phone (225) 588-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531003171 LA Practitioner - Nurse Practitioner 4183066467 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Nov 16, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Dec 11, 2024 Accepting new patients
Convenient Care LLC CurrentSince Nov 16, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Nov 14, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 22, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Nov 14, 2024 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

13686 Coursey Blvd
Ste A
Baton Rouge, LA 70817
Phone (225) 246-8000

8751 Sullivan Rd
Baton Rouge, LA 70818
Phone (225) 262-8377

1798 Highway 1042
Greensburg, LA 70441
Phone (225) 222-3194

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060

721 Avenue G
Kentwood, LA 70444
Phone (225) 306-2023

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1841067923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 GOV BEAUVAIS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708112006",
            "telephone_number": "225-588-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13686 COURSEY BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171303",
            "telephone_number": "225-246-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "KEIONNIA",
        "middle_name": "MUSE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "233021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.