Michelle Champigny, RD

Individual provider Active NPI Registered Dietitian · Sutton, MA

NPI 1447736707 · NPPES record last updated Jul 19, 2018

Key facts

NPI
1447736707
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1726 (MA)
Practice address
72 8 Lots Rd
Sutton, MA 01590-1024
Phone
(508) 868-3715
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1726MAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1726 MA Yes

Addresses

Primary practice location

72 8 Lots Rd
Sutton, MA 01590-1024

Mailing address

72 8 Lots Rd
Sutton, MA 01590-1024
Phone (508) 868-3715

Other providers in Sutton, MA

All providers in Sutton, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.