Cassie Denise Champagne, LMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

4672-01 Issued in LA

Practice address

601 Dr. Michael Debakey Dr.
Lake Charles, LA 70601-5726

Phone

(337) 304-4820

NPI assigned

Jul 26, 2010

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 names 1

• Mrs. Cassie Denise Jackson Former 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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1659685196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 SOUTHERN OAKS DR.",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706657946",
            "telephone_number": "337-304-4820",
            "fax_number": "337-583-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR. MICHAEL DEBAKEY DR.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015726",
            "telephone_number": "337-304-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "CASSIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "LA",
            "license": "4672-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "JACKSON",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie A Cestia, MSPT
• Aman Chabkoun
• Heather Elaine Chaffould, CIT
• Gassan Mitri Chaiban, M.D.
• Brett Michael Chambley, M.A LPC
• Sarah Parks Champagne, MA, BCBA
• James Glenn Chance III, DNAP, CRNA
• Carrie Michelle Chandler, PLPC
• David Shi-Wei Chang, M.D. M.S.
• Cynthia H Chantlin, R.D.

• Contractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.