Active NPI
Yvette M Champagne
Doing business as Indulgence LLC
- Prosthetic/Orthotic Supplier
- D'Iberville, MS
National Provider Identifier
1467697532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.