Cassy Champion, BS

Individual provider Active NPI Community Health Worker · Ammon, ID

NPI 1265300685 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1265300685
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1675 Curlew Dr
Ammon, ID 83406-4718
Phone
(208) 523-5319
Fax
(208) 523-5627
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1675 Curlew Dr
Ammon, ID 83406-4718

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106
Phone (208) 523-5319

Other providers in Ammon, ID

All providers in Ammon, ID · Community Health Worker in Idaho

Sources for this page

Verify at the official NPI Registry.