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STAGES HEALTH & WELLNESS, LLC
NPI 1417464918
Nurse Practitioner - Family in Lakeland, FL

Active since January 05, 2018
122 E MAIN ST STE 124, LAKELAND, FL 33801(863) 837-4867(863) 228-8510 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stages Health & Wellness, Llc NPPES

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

STAGES HEALTH & WELLNESS, LLC (NPI 1417464918) is a healthcare organization registered as a family in Lakeland, Florida and active in the NPI registry since January 2018. The organization lists Monique L Manderson, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1417464918
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSTAGES HEALTH & WELLNESS, LLC
Location Address122 E MAIN ST STE 124Lakeland, FL 33801-4655
Mailing Address122 E Main St Ste 124Lakeland, FL 33801-4655 · (863) 837-4867 · Fax (863) 228-8510
Phone(863) 837-4867
Fax(863) 228-8510
Organization SubpartNo
Authorized OfficialMonique L MandersonCeo/founder · (863) 837-4867
Enumeration DateJanuary 5, 2018
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1417464918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.012605
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
122 E MAIN ST STE 124, Lakeland, FL 33801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MONIQUE MANDERSON FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
122 E MAIN ST STE 124
LAKELAND, FL 33801
Polk County (708) 205-3517

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 Stages Health & Wellness, LLC's NPI number?

The NPI number for Stages Health & Wellness, LLC is 1417464918. It was assigned to this organization in the NPPES registry on January 5, 2018.

Where is Stages Health & Wellness, LLC located?

Stages Health & Wellness, LLC is located at 122 E Main St Ste 124, Lakeland, FL 33801. The listed phone number is (863) 837-4867.

What is Stages Health & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stages Health & Wellness, LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.