Active NPI
Rhiana Lee Champoux, COTAL
- Registered Nurse
- North Andover, MA
National Provider Identifier
1215145586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2286973
- Practice address
- 102 Peters Street Suite 1
North Andover, MA 01845-3201 - Phone
- (978) 237-5106
- NPI assigned
- May 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2286973 | MA | Primary |
| Other Technician | 247200000X | 2850 | MA |
Addresses
Primary practice location
102 Peters Street Suite 1
North Andover, MA 01845-3201
Mailing address
102 Peters Street Suite 1
North Andover, MA 01845-3201
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 |
|---|---|---|---|
| 2286973 | MA | MD | Registered Nurse |
| 2850 | MA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulley Chiropractic & Acupuncture, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- North Andover, MA
- NPI 1295134781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1215145586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PETERS STREET SUITE 1",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018453201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PETERS STREET SUITE 1",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018453201",
"telephone_number": "978-237-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPOUX",
"first_name": "RHIANA",
"middle_name": "LEE",
"credential": "COTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "2286973",
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MA",
"license": "2850",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.