Active NPI
Carmela Lucia Champ, MS CCC-SLP
- Speech-Language Pathologist
- York, PA
National Provider Identifier
1114016490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL006263L
- Practice address
- 3995 E Market St
York, PA 17402-2773 - Phone
- (717) 757-1227
- Fax
- (717) 757-1353
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL006263L | PA | Primary |
Addresses
Primary practice location
3995 E Market St
York, PA 17402-2773
Mailing address
6400 Deer Run CT
Spring Grove, PA 17362-8221
Phone (717) 341-3394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019268510003 | Other | PA | MA-PROMISE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL006263L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114016490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DEER RUN CT",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173628221",
"telephone_number": "717-341-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3995 E MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "174022773",
"telephone_number": "717-757-1227",
"fax_number": "717-757-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMP",
"first_name": "CARMELA",
"middle_name": "LUCIA",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL006263L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA-PROMISE",
"identifier": "0019268510003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.