Organization Active NPI

Yvette M Champagne

Doing business as Indulgence LLC

  • Prosthetic/Orthotic Supplier
  • D'Iberville, MS
National Provider Identifier
1467697532
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
YVETTE M CHAMPAGNE
Doing business as
Indulgence LLC
Practice address
3821 Promenade Pkwy
Suite H
Diberville, MS 39540-5374
Phone
(228) 392-5678
NPI assigned
Dec 3, 2008
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Ms. Yvette Michelle Champagne
Title
Owner
Phone
(228) 392-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3821 Promenade Pkwy
Suite H
Diberville, MS 39540-5374

Mailing address

3821 Promenade Pkwy
Suite H
Diberville, MS 39540
Phone (228) 392-5678

Other names 1

  • Indulgence LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3821 Promenade Pkwy
Ste H
Diberville, MS 39540
Phone (228) 392-5678

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1467697532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 PROMENADE PKWY",
            "address_2": "SUITE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "39540",
            "telephone_number": "228-392-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 PROMENADE PKWY",
            "address_2": "SUITE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395405374",
            "telephone_number": "228-392-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE M CHAMPAGNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-392-5678",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indulgence LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in D'Iberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.