CHARLIE CHAMPION (NPI# 1679128003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679128003 |
| Entity Type | Individual |
| Full Name | CHARLIE CHAMPION |
| Practice Address |
866 Campus Dr Stanford CA 94305-8508 |
| Mailing Address |
628 Stewart Rd Modesto CA 95356-9628 |
| Practice Telephone | 2093804952 |
| Mailing Telephone | 2093804952 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
866 CAMPUS DR |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-8508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747478 | Aaron Israel Rosales | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2020-07-14 |
| 1811542285 | Elmer Ruben Guardado | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-08-02 |
| 1730743188 | Lyndsey Grace Pearsall | Physical Therapist | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-04-30 |
| 1497218143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-04-10 |
| 1871073585 | Carolina Corrales | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2018-08-21 |
| 1750861852 | Marissa C Floro | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2018-08-17 |
| 1063992162 | Sonja Kubota Johansson | Psychologist | 866 Campus Dr, Stanford, CA 94305 | 2018-08-17 |
| 1447765078 | Asale Hubbard | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-12-05 |
| 1164940847 | Shelly Thurlo Sheinbein | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-09-01 |
| 1801320288 | Elise Ravel | Pharmacist | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1467078253 | Sachindra Rayamajhi | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # Mc5633, Stanford, CA 94305-2200 | 2020-06-18 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1104445436 | Ravali Annam Reddy | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Hg332, Stanford, CA 94305-5317 | 2020-04-16 |
| 1801415161 | Mohammed Rehman Hayat | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H0342, Stanford, CA 94305-2200 | 2020-04-15 |
| 1912526450 | Michael Timothy Scott | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # S287, Stanford, CA 94305-2200 | 2020-04-14 |
| 1902434244 | Adam Tanaka | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # 3591, Stanford, CA 94305-2200 | 2020-03-31 |
| 1184251373 | Victor Manuel Contreras | Student in an Organized Health Care Education/Training Program | 35 Angell Ct, Stanford, CA 94305-7144 | 2020-03-26 |
| 1548894355 | Karen Rosanna Sheehan | Student in an Organized Health Care Education/Training Program | Stanford Hospital and Clinics, 300 Pasteur Drive, Rm H3589, Stanford, CA 94305-5640 | 2020-03-02 |
| 1831722131 | Bina Wasunga Kakusa | Student in an Organized Health Care Education/Training Program | 265 Campus Dr # G1021, Stanford, CA 94305-5101 | 2020-02-15 |
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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.