Active NPI
Tanya R Champa, BSN, MS, FNP
- Family Nurse Practitioner
- Forney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128037
- Practice address
- 763 E US Highway 80 Ste 240
Forney, TX 75126-8677 - Phone
- (469) 800-3870
- NPI assigned
- Mar 27, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128037 | TX | Primary |
Addresses
Primary practice location
763 E US Highway 80 Ste 240
Forney, TX 75126-8677
Mailing address
724 Starlight Pass
Heath, TX 75032-5984
Phone (815) 439-8043
Other practice location 1
200 N Virginia St
Terrell, TX 75160-2732
Phone (469) 800-3100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tchampa285859@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott and White Medical Center Lake Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP128037 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
200 N Virginia St
Terrell, TX 75160
Phone 97255174007500
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1285752444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 STARLIGHT PASS",
"city": "HEATH",
"state": "TX",
"postal_code": "750325984",
"telephone_number": "815-439-8043",
"fax_number": "469-800-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 E US HIGHWAY 80 STE 240",
"city": "FORNEY",
"state": "TX",
"postal_code": "751268677",
"telephone_number": "469-800-3870"
}
],
"practiceLocations": [
{
"address_1": "200 N Virginia St",
"address_purpose": "LOCATION",
"city": "Terrell",
"state": "TX",
"postal_code": "751602732",
"country_code": "US",
"telephone_number": "469-800-3100",
"fax_number": "469-800-3110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMPA",
"first_name": "TANYA",
"middle_name": "R",
"credential": "BSN, MS, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2022-03-30",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128037",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tchampa285859@direct.sw.org",
"affiliation": "N",
"address_1": "200 N Virginia St",
"city": "Terrell",
"state": "TX",
"country_code": "US",
"postal_code": "751602732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.