Laurence Cloutier-Champagne, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N006470-1 Issued in NY

Practice address

81 W 115TH St
New York, NY 10026-3138

Phone

(212) 426-0088

Fax

(212) 426-8367

NPI assigned

Apr 16, 2012

Last updated

Apr 15, 2014By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Healthcare Network Inc

  dba Bronx Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1316014103
  Medicare reassignment Care Compare group NPD
• Community Healthcare Network, Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1477764496
  NPD
• Community Healthcare Network Inc

  dba Helen B. Atkinson Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1154498053
  NPD (past)
• Community Healthcare Network Inc

  dba Dr. Betty Shabazz Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1154498822
  NPD (past)
• Community Healthcare Network, Inc.

  dba Carribean House Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1811064744
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1811254725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE",
            "address_2": "5TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263138",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER-CHAMPAGNE",
        "first_name": "LAURENCE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006470-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ticineto Clough, PH.D.
• Quintin John Clough, LCSW
• Sandra Mays Clough, PH.D.
• Kathleen F Clougherty, LCSW
• Christophe Cloutier Lambert, MD
• Clover Marriage and Family Therapy PLLC
• Christy T Clowes, CRNA
• Trudi Cloyd, M.D.
• Sabrina R Cluesman, PHD, MSW, LCSW
• Garfield Clunie, M.D.

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.