Active NPI
Michelle Denise Champion
- Child Physical Disabilities Respite Care
- Magnolia, TX
National Provider Identifier
1629433685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Physical Disabilities Respite Care
- Practice address
- 41206 N Mill Dr
Magnolia, TX 77354-1874 - Phone
- (936) 273-3226
- Fax
- (936) 273-3226
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Physical Disabilities Respite Care | 385HR2065X | TX | Primary |
Addresses
Primary practice location
41206 N Mill Dr
Magnolia, TX 77354-1874
Mailing address
8696 Sunset Heights LN
Conroe, TX 77302-3457
Phone (281) 414-3830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1629433685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8696 SUNSET HEIGHTS LN",
"city": "CONROE",
"state": "TX",
"postal_code": "773023457",
"telephone_number": "281-414-3830",
"fax_number": "936-703-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41206 N MILL DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773541874",
"telephone_number": "936-273-3226",
"fax_number": "936-273-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.