Individual provider Active NPI

Caroline Frances Champney, RN

  • Psychiatric/Mental Health Registered Nurse
  • Huntington Station, NY
National Provider Identifier
1386767572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
384471 Issued in NY
Practice address
38 Ingersoll St
Huntington Station, NY 11746-3036
Phone
(516) 617-8249
Fax
(631) 271-1779
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 384471 NY Primary

Addresses

Primary practice location

38 Ingersoll St
Huntington Station, NY 11746-3036

Mailing address

38 Ingersoll St
Huntington Station, NY 11746-3036
Phone (516) 617-8249

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
384471NYMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386767572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 INGERSOLL ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463036",
            "telephone_number": "516-617-8249",
            "fax_number": "631-271-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 INGERSOLL ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463036",
            "telephone_number": "516-617-8249",
            "fax_number": "631-271-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPNEY",
        "first_name": "CAROLINE",
        "middle_name": "FRANCES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "384471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.