Nita Jill Champion, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1019 Issued in MN

Practice address

10505 Wayzata Blvd
Suite 202
Minnetonka, MN 55305-1502

Phone

(952) 417-1912

Fax

(952) 417-1913

NPI assigned

Oct 31, 2008

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Nita Jill Keskitalo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1124271333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "952-417-1912",
            "fax_number": "952-417-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "952-417-1912",
            "fax_number": "952-417-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "NITA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-990",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITA",
            "last_name": "KESKITALO",
            "middle_name": "JILL",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carole Gail Cera, LICSW
• Becky Cervenka
• Sonja Chafin, RN,CFNP
• Nathan A Champine, PA-C
• Nathan Michael Champion, N.D.
• Changing Lifestyle Counseling Center
• Kayla Chapman
• Charles L Hirt DDS PA
• Arif Riaz Chaudhry, MD
• Jillian Chavez

• Naturopath in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Naturopath in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.