Active NPI
Lindsey Champa
- Nurse Practitioner
- Providence, RI
National Provider Identifier
1174909428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00727
- Practice address
- 10 Dorrance St Ste 700
Providence, RI 02903-2014 - Phone
- (833) 229-0957
- NPI assigned
- Aug 9, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN00727 | RI | Primary |
Addresses
Primary practice location
10 Dorrance St Ste 700
Providence, RI 02903-2014
Mailing address
475 Kilvert St
Suite 310
Warwick, RI 02886-1379
Phone (978) 537-2101
Other practice location 1
475 Kilvert St
Suite 310
Warwick, RI 02886-1379
Phone (401) 258-5925
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1174909428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 KILVERT ST",
"address_2": "SUITE 310",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861379",
"telephone_number": "978-537-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DORRANCE ST STE 700",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029032014",
"telephone_number": "833-229-0957"
}
],
"practiceLocations": [
{
"address_1": "475 Kilvert St",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861379",
"country_code": "US",
"telephone_number": "401-258-5925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMPA",
"first_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-09",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN00727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.