Active NPI
Sandy C Champine
- Doula
- Glendale, AZ
National Provider Identifier
1184984783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- D04227488
- Practice address
- 17625 N 55TH Dr
Glendale, AZ 85308-3860 - Phone
- (623) 340-8080
- NPI assigned
- May 17, 2012
- Last updated
- May 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | D04227488 | AZ | Primary |
Addresses
Primary practice location
17625 N 55TH Dr
Glendale, AZ 85308-3860
Mailing address
17625 N 55TH Dr
Glendale, AZ 85308-3860
Phone (623) 340-8080
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D04227488 | AZ | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1184984783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17625 N 55TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083860",
"telephone_number": "623-340-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17625 N 55TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083860",
"telephone_number": "623-340-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPINE",
"first_name": "SANDY",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "AZ",
"license": "D04227488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.