Katherine Ann Champion

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

4918 Mable St
Corpus Christi, TX 78411-4029

Phone

(361) 933-6399

Fax

(361) 933-6399

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1528699592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 CYPRESS WOOD CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336815",
            "telephone_number": "361-933-6399",
            "fax_number": "682-499-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 MABLE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114029",
            "telephone_number": "361-933-6399",
            "fax_number": "361-933-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513969099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PESTIGE",
            "identifier": "5A10-E24-KC21",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CH Wilkinson Physician Network
• Zelda Chacon, RN, CFNP
• Crystal R Chaffin, MBA, ATP
• Diana Chagoya, AU.D.
• Ramakrishna Chakilam, M.D
• CHI Oi Joyce Chan, O.D.
• Julie Lynn Chancler
• Satish Hari Chandrasekhar, MD
• Derek Chang, DDS
• Katherine L Chang, PA-C

• Nursing Home Administrator in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nursing Home Administrator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.