Laurie Ellen Champ, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2013002281 Issued in MO

Practice address

5844 NW Barry Rd
Ste. 110
Kansas City, MO 64154-1465

Phone

(816) 880-6100

Fax

(816) 746-1226

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

No

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.

• Saint Luke'S Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2015.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1679919062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE. 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-880-6100",
            "fax_number": "816-746-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE. 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-880-6100",
            "fax_number": "816-746-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "LAURIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008021543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013002281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679919062",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Brigette Chamberlain, D.D.S.
• Ashley Chamberlin
• Jonathan R Chambers, AA-C
• Lauren Chambers, PHARMD
• Samantha Chambers
• Paul S Chan, MD
• Sherwin Shiu-Cheung Chan, M.D.
• Sophia Chan, AUD
• Yuiyee Raymond Chan, MD
• Terry Wayne Chance, D.O.

• All providers in Kansas City, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.