Jennifer Lorene Champion, DNC, MS,CNS, CN, DCN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU60733491 Issued in WA

Practice address

7018 59TH Street CT W
University Place, WA 98467-2172

Phone

(253) 507-5775

NPI assigned

Jul 14, 2017

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 4, 2022 through May 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neogenesis Nutrition Inc

  • Health Service Clinic/Center
  • University Place, WA
  • NPI 1861191868

  Single Specialty

  NPD Authorized official
• Simplicity Nutrition, Inc.

  • Registered Dietitian
  • North Bend, WA
  • NPI 1366981292

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1275055865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 59TH STREET CT W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672172",
            "telephone_number": "253-507-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 59TH STREET CT W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672172",
            "telephone_number": "253-507-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JENNIFER",
        "middle_name": "LORENE",
        "name_prefix": "Ms.",
        "credential": "DNC, MS,CNS, CN, DCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60733491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wes Cauthers, MACP, RMHC
• Leah Ceehorne, RN
• Brynn Cenicola, MA
• Calypso Cervantes
• Chambers Bay Internal Medicine
• Chung Chun Chan, M.D.
• Sahara Chandler
• Ray Chang, M.D.
• Hannah Chase
• Alyssa Cheesman

• Nutritionist in University Place, WA
• Providers in University Place, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.