Daniece L Champ, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001132A Issued in IN

Practice address

113 W 2ND St
Seymour, IN 47274-2107

Phone

(812) 522-4625

Fax

(812) 523-8185

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daniece L Land Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518008747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742107",
            "telephone_number": "812-522-4625",
            "fax_number": "812-523-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742107",
            "telephone_number": "812-522-4625",
            "fax_number": "812-523-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "DANIECE",
        "middle_name": "L",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIECE",
            "last_name": "LAND",
            "middle_name": "L",
            "credential": "BC-HIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Hearing Instrument Specialist in Seymour, IN
• Providers in Seymour, IN by specialty
• Hearing Instrument Specialist in Indiana

• 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.