JORDAN STAGGS
NPI 1023732500
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since September 28, 2022PECOS Enrolled
1111 W 17TH ST APT 7302, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Staggs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN STAGGS (NPI 1023732500) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023732500
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN STAGGS
Location Address1111 W 17TH ST APT 7302Tulsa, OK 74107-1886
Mailing Address1111 W 17th St Apt 7302Tulsa, OK 74107-1886 · (918) 582-1972
Sole ProprietorYes
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1023732500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST APT 7302, Tulsa, OK 74107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jordan Staggs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Staggs's NPI number?

The NPI number for Jordan Staggs is 1023732500. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Jordan Staggs located?

Jordan Staggs practices at 1111 W 17th St Apt 7302, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Jordan Staggs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Staggs enrolled in Medicare?

Yes. Jordan Staggs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Staggs was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.