Jaimi-Lyn Tudor-Champagne

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

934434 Issued in NY

Practice address

725 North St
Pittsfield, MA 01201-4109

Phone

(413) 447-2339

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306879556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BILLINGS ST",
            "city": "LANESBOROUGH",
            "state": "MA",
            "postal_code": "012379753",
            "telephone_number": "518-857-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "North Adams",
            "state": "MA",
            "postal_code": "012472504",
            "country_code": "US",
            "telephone_number": "413-664-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUDOR-CHAMPAGNE",
        "first_name": "JAIMI-LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "934434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Trova
• Sara M. Trova
• Susan Mary Trudeau, LICSW
• Artsiom V Tsyrkunou, MD, MPH
• Katsiaryna Tsyrkunova, MD
• Ryan Tuggey
• Henry Tulgan, M.D.
• Katie Turner
• Lyndsey A Turner, LICSW
• William Joseph Turner, MSW

• Registered Dietitian in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.