Individual provider Active NPI

Brooklyn Champion, CRNP

  • Family Nurse Practitioner
  • Oxford, AL
National Provider Identifier
1871264515
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-178231 Issued in AL
Practice address
1622 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203-1305
Phone
(256) 419-0805
Fax
(256) 419-0812
NPI assigned
Sep 22, 2021
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-178231 AL Primary
Registered Nurse 163W00000X 1-178231 AL

Addresses

Primary practice location

1622 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203-1305

Mailing address

1622 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203-1305
Phone (256) 419-0805

Other names 1

  • Brooklyn Hosch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000805 AL Practitioner - Nurse Practitioner 9335598481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanatio Health IncGroup PAC ID 4284970310, 3 clinicians

Practice addresses (Care Compare)

1622 Hillyer Robinson Industrial Pkwy
Oxford, AL 36203-1305
Phone (256) 419-0805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-178231ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sanatio Health, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Anniston Medical Clinic PC CurrentSince Oct 30, 2023 Accepting new patients

Locations

1010 Christine Ave
Anniston, AL 36207
Phone (256) 236-5631

1622 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203
Phone (256) 419-0805

Interoperability endpoints

  • Direct secure messaging: brooklyn.champion.1@19980.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19980/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1871264515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HILLYER ROBINSON INDUSTRIAL PKWY S",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031305",
            "telephone_number": "256-419-0805",
            "fax_number": "256-419-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HILLYER ROBINSON INDUSTRIAL PKWY S",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031305",
            "telephone_number": "256-419-0805",
            "fax_number": "256-419-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "BROOKLYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-178231",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-178231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLYN",
            "last_name": "HOSCH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.