Active NPI
Jonie Lynn Champlin, C.R.N.P.
- Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1659615417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-117571
- Practice address
- 273 Winton M Blount Loop
Montgomery, AL 36117-3507 - Phone
- (334) 280-1527
- Fax
- (334) 280-1591
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-117571 | AL | Primary |
Addresses
Primary practice location
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Mailing address
2343 Sansone Rd
Montgomery, AL 36116-1222
Phone (334) 201-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth Home Care, LLC | Past | Accepting new patients | |
| Montgomery Cardiovascular Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Montgomery, AL
- NPI 1437813342
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1336179316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1659615417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 SANSONE RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161222",
"telephone_number": "334-201-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-280-1527",
"fax_number": "334-280-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPLIN",
"first_name": "JONIE",
"middle_name": "LYNN",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-117571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.