Diane Theresa Champlin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

007384-22 Issued in NH

Practice address

1039 Islington St
Suite 16
Portsmouth, NH 03801-4262

Phone

(603) 431-0505

Fax

(603) 431-2228

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Theresa Rainville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Benda Healthcare, Inc.

  • Home Health Agency
  • Portsmouth, NH
  • NPI 1184649006
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1134555964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 ISLINGTON ST",
            "address_2": "SUITE 16",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014262",
            "telephone_number": "603-431-0505",
            "fax_number": "603-431-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 ISLINGTON ST",
            "address_2": "SUITE 16",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014262",
            "telephone_number": "603-431-0505",
            "fax_number": "603-431-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "DIANE",
        "middle_name": "THERESA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "007384-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "RAINVILLE",
            "middle_name": "THERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Chabot
• Richard Chace, M.D.
• Jennifer Chadbourne, MS, RD, LDN
• Mark A Chag, M.D.
• Satyaki Chakrabarty, MD
• Nancy K Charest, AUD
• Molly Beth Chartier, M.D.
• Carolyn Cowen Chase, DMD
• Jessica B Chase
• Susan B Chase, MA IN COUNSELING

• Licensed Practical Nurse in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Licensed Practical Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.