Organization Active NPI

Champion Wellness, Inc.

Doing business as Champion Wellness & Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1679266126
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CHAMPION WELLNESS, INC.
Doing business as
Champion Wellness & Psychiatry
Champion Wellness Service, Inc.
Practice address
9723 109TH Street CT SW
Lakewood, WA 98498-3059
Phone
(253) 342-4713
NPI assigned
May 31, 2023
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Shnarika Simone Powell, PMHNPNPI 1720786858
Title
Pmhnp
Phone
(404) 388-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

9723 109TH Street CT SW
Lakewood, WA 98498-3059

Mailing address

9723 109TH Street CT SW
Lakewood, WA 98498-3059
Phone (404) 388-2333

Other names 2

  • Champion Wellness & Psychiatry Doing business as
  • Champion Wellness Service, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

8735 Dunwoody Pl
#5313
Sandy Springs, GA 30350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1679266126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 109TH STREET CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983059",
            "telephone_number": "404-388-2333",
            "fax_number": "253-342-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 109TH STREET CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983059",
            "telephone_number": "253-342-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SHNARIKA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "404-388-2333",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Wellness & Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Wellness Service, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Wellness Service, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.