Johnie R Champ, RN CRNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

SP012474 Issued in PA

Practice address

5200 Centre Ave
Suite 312
Pittsburgh, PA 15232-1300

Phone

(412) 621-7777

Fax

(412) 683-8698

NPI assigned

Jan 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1790022945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-621-7777",
            "fax_number": "412-683-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-621-7777",
            "fax_number": "412-683-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "JOHNIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PA",
            "license": "SP012474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Chambers, MD
• Matthew Todd Chambers, MD, PHD
• Walter Ronale Chambers
• Diego Fernando Chamorro Ortiz, MD
• Colin E. Champ, M.D.
• Pierre-Olivier Champagne, MD
• Jesse Champi, M.D.
• Cynthia Fuller Champion, MT, AMT,HEW
• Kimberly Champion, PSYD
• Jay Ellworth Champlin, MD

• Family Health Clinical Nurse Specialist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Health Clinical Nurse Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.