JUDITH M CHAMPION (NPI# 1477872281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477872281 |
| Entity Type | Individual |
| Full Name | JUDITH M CHAMPION |
| Credential | RN, CDE |
| Practice Address |
1040 River Oaks Dr Ste. 302 Jackson MS 39232-9530 |
| Practice Telephone | 6019399923 |
| Practice Fax Number | 6019399924 |
| Mailing Telephone | 6019399923 |
| Mailing Fax Number | 6019399924 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R778873 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE NUMBER | R778873 | 01 |
| Street Address |
1040 RIVER OAKS DR STE. 302 |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369494 | Amy J Olson | Dietitian, Registered | 1040 River Oaks Dr, Suite 302, Jackson, MS 39232-9530 | 2005-10-06 |
| 1689017915 | Dianna Phillips | Registered Nurse | 1040 River Oaks Dr, Suite 302, Jackson, MS 39232-9530 | 2013-04-17 |
| 1396059093 | Miss Reproductive Medicine Pllc | Obstetrics & Gynecology | 1040 River Oaks Dr, Jackson, MS 39232-9530 | 2010-08-05 |
| 1477872273 | Toni L. Cooper | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| 1942522156 | Autumn P Douglas | Dietitian, Registered | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-02-16 |
| 1043545874 | Yolanda Smith | Nurse Practitioner | 1040 River Oaks Dr, Suite 302, Jackson, MS 39232-9530 | 2009-10-13 |
| 1235329020 | Center of Infectious Disease Excellence | Internal Medicine | 1040 River Oaks Dr, Suite 303, Jackson, MS 39232-9530 | 2007-07-27 |
| 1255364956 | Marshall J Bouldin Iv | Internal Medicine | 1040 River Oaks Dr, Suite 302, Jackson, MS 39232-9530 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699054403 | Margrett R. Davis | Registered Nurse | 350 W Woodrow Wilson Ave Ste 107, Jackson, MS 39213-7682 | 2011-08-10 |
| 1134637408 | Susanne M Schenk | Registered Nurse | 555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 | 2018-01-19 |
| 1548626575 | Keisha Pruitt Luckey | Registered Nurse | 2500 N State St, 2500 North State Street, Jackson, MS 39216-4500 | 2016-01-06 |
| 1164815940 | Michael James Furlow | Registered Nurse | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2015-03-18 |
| 1477872273 | Toni L. Cooper | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717347 | Jennifer Ann Taylor | Registered Nurse | 29436 Ms Highway 32, Charleston, MS 38921-6602 | 2020-07-10 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| 1134656812 | Kelley Pounds | Registered Nurse | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2017-05-12 |
| 1073996005 | North Mississippi Medical Clinics Inc | Registered Nurse | 410 Council Cir, Tupelo, MS 38801-4938 | 2015-07-08 |
Please comment or provide details below to improve the information on JUDITH M CHAMPION.
| 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.