Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marianne Kathryn Staggs

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629855085

Marianne Kathryn Staggs is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023

Practice location Address checks out

1930 Wrocklage Ave
Louisville, KY 40205-2150
Phone: (270) 535-3228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 S Main Cross St, Louisa, KY 41230-1065 — (606) 638-0938

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4008892 (KY)

Record details

NPI number1629855085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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