Active NPI
Tina Tessier Champagne
- Counselor
- Springfield, MA
National Provider Identifier
1760636278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 342 Birnie Ave
Springfield, MA 01107-1104 - Phone
- (413) 439-2170
- Fax
- (413) 785-1728
- NPI assigned
- Nov 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MA | Primary | |
| Occupational Therapist | 225X00000X | 6525 | MA |
Addresses
Primary practice location
342 Birnie Ave
Springfield, MA 01107-1104
Mailing address
342 Birnie Ave
Springfield, MA 01107-1104
Phone (413) 439-2170
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6525 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1760636278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 BIRNIE AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071104",
"telephone_number": "413-439-2170",
"fax_number": "413-785-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 BIRNIE AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071104",
"telephone_number": "413-439-2170",
"fax_number": "413-785-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPAGNE",
"first_name": "TINA",
"middle_name": "TESSIER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "6525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.