CARLA DENISE CHAMPION (NPI# 1144700915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144700915 |
| Entity Type | Individual |
| Full Name | CARLA DENISE CHAMPION |
| Practice Address |
1021 Holden St Glen Rose TX 76043-4937 |
| Practice Telephone | 2548971429 |
| Mailing Telephone | 2548971429 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 210034 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1021 HOLDEN ST |
| City | GLEN ROSE |
| State | TX |
| Zip Code | 76043-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315131 | Kevin Andrew Crawford | Nurse Anesthetist, Certified Registered | 1021 Holden St, Glen Rose, TX 76043-4937 | 2005-12-03 |
| 1366918542 | Tammie Apodaca | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-10-16 |
| 1962986125 | Ashleigh Megan Stegall | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-09-24 |
| 1487136982 | Joel Tyler | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-30 |
| 1528549052 | Kali Jan Fehler | Skilled Nursing Facility | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-23 |
| 1205316924 | Laura Jean Ward | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-21 |
| 1861864472 | Libra Emergency Physicians, Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2015-10-22 |
| 1144507542 | Fossil Rim Emergency Physicians Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2011-11-14 |
| 1770812646 | Somervell County Hospital Authority | Skilled Nursing Facility | 1021 Holden St, Glen Rose, TX 76043-4937 | 2009-12-23 |
| 1568574291 | Somervell County Hospital District | General Acute Care Hospital | 1021 Holden St, Glen Rose, TX 76043-4937 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1235620691 | Charis Psychological Services & Christian Counseling, Pllc | Psychologist | 1100 Fm 56, Glen Rose, TX 76043 | 2018-05-22 |
| 1801125646 | Melinda Gaye Lewis | Counselor | 1104 Hereford St, Glen Rose, TX 76043 | 2009-12-07 |
| 1528291614 | Angela Adams | Pharmacist | 906 N.e. Big Bend Trail, Glen Rose, TX 76043 | 2009-08-24 |
| 1386829281 | Mark Allen Fanning | Specialist/Technologist, Other | 408 Glennwood, Glenn Rose, TX 76043 | 2008-01-09 |
| 1124235353 | Glen Rose Isd | Local Education Agency (LEA) | 201 Allen Lane, Glen Rose, TX 76043 | 2007-05-17 |
| 1558495333 | Schmidt Medical Clinic, Pa | Family Medicine | 1008 N E Big Bend Trl, Glen Rose, TX 76043 | 2007-03-15 |
| 1386712701 | Best Value Pharmacies, Inc. | Pharmacy | 1100 Bluebonnet, Glen Rose, TX 76043 | 2006-12-01 |
| 1497831432 | C Jeffrey Bise | Counselor | 409 Glenwood St., Ste 500, Glen Rose, TX 76043 | 2006-10-31 |
| 1912016106 | County of Somervell | Emergency Medical Technician, Paramedic | 111 Sheppard Street, Glen Rose, TX 76043 | 2006-08-30 |
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| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003397498 | Rebecca Sehnert | Occupational Therapy Assistant | 1019 Holden St, Glen Rose, TX 76043-4937 | 2018-08-24 |
| 1700367349 | Sue Lyon Jackson | Occupational Therapy Assistant | 1019 Holden St, Glen Rose, TX 76043-4937 | 2018-08-22 |
| 1114407038 | Lance David Knox | Occupational Therapy Assistant | 1019 Holden St, Glen Rose, TX 76043-4937 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
| 1528668464 | Jerjean Casalem-dahl | Occupational Therapy Assistant | 8522 Cookglass Dr, Houston, TX 77072-4808 | 2020-10-29 |
| 1144829706 | Dickson Innemeset Etukudoh | Occupational Therapy Assistant | 21630 Merchants Way Ste 200, Katy, TX 77449-2514 | 2020-10-23 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1154920502 | Allison Hill | Occupational Therapy Assistant | 600 Nottingham Oaks Trl Apt 197, Houston, TX 77079-6233 | 2020-10-17 |
| 1518565951 | Susana Sifford | Occupational Therapy Assistant | 14515 Old Tybee Rd, Houston, TX 77084-7158 | 2020-10-16 |
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1386241735 | Tracy Lynn Price | Occupational Therapy Assistant | 15002 Zenith Glen Ln, Cypress, TX 77429-7644 | 2020-10-07 |
| 1003413782 | Gabriela Coronado Lopez | Occupational Therapy Assistant | 3206 Hummingbird Ln, Humble, TX 77396-4136 | 2020-10-05 |
| 1962009746 | Kayci Dawn Lane | Occupational Therapy Assistant | 290 Country Ridge Rd Unit 37, Lewisville, TX 75067-4503 | 2020-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.