Individual provider Active NPI

Tanya R Champion, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1598331001
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1038142 Issued in TX
Practice address
2950 Dowlen Rd
Beaumont, TX 77706-7226
Phone
(409) 861-3413
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1038142 TX Primary

Addresses

Primary practice location

2950 Dowlen Rd
Beaumont, TX 77706-7226

Mailing address

9205 Shepherd Dr
Beaumont, TX 77707-1235
Phone (409) 223-7859

Other practice location 1

9205 Shepherd Dr
Beaumont, TX 77707-1235
Phone (409) 223-7859

Other practice location 2

3250 Medical Center Dr
Beaumont, TX 77701-4627
Phone (409) 813-1765

Other identifiers 1

IdentifierTypeStateIssuer
114668001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tanya.champion.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1598331001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SHEPHERD DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777071235",
            "telephone_number": "409-223-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067226",
            "telephone_number": "409-861-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9205 Shepherd Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777071235",
            "country_code": "US",
            "telephone_number": "409-223-7859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014627",
            "country_code": "US",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "TANYA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1038142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114668001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.