Debra Champouillon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

292139 Issued in NY

Practice address

412 County Route 10
Apt.B4
Pennellville, NY 13132-4102

Phone

(315) 488-2951

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1306102660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 COUNTY ROUTE 10",
            "address_2": "APT.B4",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "131324102",
            "telephone_number": "315-488-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 COUNTY ROUTE 10",
            "address_2": "APT.B4",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "131324102",
            "telephone_number": "315-488-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPOUILLON",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene S Andrews, OTA
• Melisa A Aria, LPN
• Stephanie Jean Barankovich, LPN
• Amy Wilcox Colgan, R.N.
• David B Hanford, R.PH.
• Alysia Hart, LPN
• Margaret Heitmann, LPN
• Wendy L Howard, LPN

• Licensed Practical Nurse in Pennellville, NY
• Providers in Pennellville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.