Individual provider Active NPI

Cynthia Champion, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013332949
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1023324 Issued in TX
Practice address
4295 San Felipe St Ste 335
Houston, TX 77027-2942
Phone
(281) 501-0611
NPI assigned
Mar 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 794196 TX
Registered Nurse 163W00000X 794196 TX
Family Nurse Practitioner 363LF0000X 1023324 TX Primary

Addresses

Primary practice location

4295 San Felipe St Ste 335
Houston, TX 77027-2942

Mailing address

2450 Louisiana St # 400-248
Houston, TX 77006-2380
Phone (832) 628-3387

Other practice location 1

3950 South Terminal Rd Terminal E St 16
Houiston, TX 77032
Phone (713) 266-0808

Other practice location 2

16515 Lexington Blvd
Sugar Land, TX 77479-2310
Phone (281) 980-6666

Other practice location 3

2450 Louisiana St # 400-248
Houston, TX 77006-2380
Phone (832) 628-3387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
794196TXMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Health and Wellness Clinics CurrentSince Nov 13, 2022 Accepting new patients

Locations

2450 Louisiana St
#400248
Houston, TX 77006
Phone (832) 628-3387

4295 San Felipe St
Ste 335
Houston, TX 77027
Phone (281) 501-0611

Organizations & group practices 1

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": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1013332949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST # 400-248",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380",
            "telephone_number": "832-628-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 SAN FELIPE ST STE 335",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272942",
            "telephone_number": "281-501-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 SOUTH TERMINAL RD TERMINAL E ST 16",
            "address_purpose": "LOCATION",
            "city": "HOUISTON",
            "state": "TX",
            "postal_code": "77032",
            "country_code": "US",
            "telephone_number": "713-266-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16515 Lexington Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792310",
            "country_code": "US",
            "telephone_number": "281-980-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Louisiana St # 400-248",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770062380",
            "country_code": "US",
            "telephone_number": "832-628-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "CYNTHIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "794196",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "794196",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1023324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.