Active NPI
Stacey Champion
- Driving and Community Mobility Occupational Therapist
- Raleigh, NC
National Provider Identifier
1871766949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- License
- 3393
- Practice address
- 3724 National Dr
Suite 110
Raleigh, NC 27612-4070 - Phone
- (877) 781-9565
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 3393 | NC | Primary |
Addresses
Primary practice location
3724 National Dr
Suite 110
Raleigh, NC 27612-4070
Mailing address
3724 National Dr
Suite 110
Raleigh, NC 27612-4070
Phone (877) 781-9565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1871766949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 NATIONAL DR",
"address_2": "SUITE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124070",
"telephone_number": "877-781-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 NATIONAL DR",
"address_2": "SUITE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124070",
"telephone_number": "877-781-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "STACEY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NC",
"license": "3393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.