Active NPI
Champion Wellness
- Sports Physician Chiropractor
- Hendersonville, TN
National Provider Identifier
1811651748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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 DirectoryNPI 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.