Organization Active NPI

Champion Wellness

  • Sports Physician Chiropractor
  • Hendersonville, TN
National Provider Identifier
1811651748
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
CHAMPION WELLNESS
Practice address
1047 Glenbrook Way Ste 112
Hendersonville, TN 37075-1309
Phone
(615) 447-3787
Fax
(615) 827-0149
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Heather Champion, DC, CCSP
Title
Owner
Phone
(813) 340-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1047 Glenbrook Way Ste 112
Hendersonville, TN 37075-1309

Mailing address

3116 Tyree Springs Rd
Hendersonville, TN 37075-8421
Phone (813) 340-4611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1811651748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 TYREE SPRINGS RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758421",
            "telephone_number": "813-340-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 GLENBROOK WAY STE 112",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751309",
            "telephone_number": "615-447-3787",
            "fax_number": "615-827-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-340-4611",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.