Avery Champagne

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61068859 Issued in WA

Practice address

8825 Tallon LN NE Ste D
Lacey, WA 98516-6607

Phone

(360) 489-0973

Fax

(360) 489-0983

NPI assigned

Oct 13, 2020

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Male

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adio LLC

  • Chiropractor
  • Lacey, WA
  • NPI 1013607456
  Medicare reassignment NPD Authorized official
• Jpete2, PLLC

  dba Vitall Family Chiropractic

  • Chiropractor
  • Lakewood, WA
  • NPI 1245581396
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1457959439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 TALLON LN NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166607",
            "telephone_number": "360-489-0973",
            "fax_number": "360-489-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 TALLON LN NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166607",
            "telephone_number": "360-489-0973",
            "fax_number": "360-489-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "AVERY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61068859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Cha, PA-S
• Julie Marie Chace
• Christine H Chae, PHARMD
• Angie Chamberlain
• Magdalena Maria Chamberlain
• Elijah Champagne, DC
• Champion Chiropractic Center, Inc
• Angela I Chan, M.D.
• Lauren Chan
• Man Wah Mackie Chan, MD

• Chiropractor in Lacey, WA
• Providers in Lacey, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.