Individual provider Active NPI

Suzanne E. Champaign, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1013234087
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN158057 Issued in AZ
Practice address
1100 N 35TH St
Phoenix, AZ 85008-5210
Phone
(602) 381-4665
Fax
(602) 381-4662
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN158057 AZ Primary

Addresses

Primary practice location

1100 N 35TH St
Phoenix, AZ 85008-5210

Mailing address

2702 E Flower St
Phoenix, AZ 85016-7461
Phone (602) 381-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN158057AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Creighton School District Past Accepting new patients
County of Maricopa Creighton Elementary School Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1013234087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167461",
            "telephone_number": "602-381-6018",
            "fax_number": "602-381-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 35TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085210",
            "telephone_number": "602-381-4665",
            "fax_number": "602-381-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAIGN",
        "first_name": "SUZANNE",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN158057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.