Nathan Michael Champion, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1018 Issued in MN

Practice address

10505 Wayzata Blvd
Suite 202
Minnetonka, MN 55305-1502

Phone

(952) 417-1912

Fax

(952) 417-1913

NPI assigned

Oct 16, 2008

Last updated

Jun 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1922250372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "952-417-1912",
            "fax_number": "952-417-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "952-417-1912",
            "fax_number": "952-417-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-1009",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ORGANIZATION",
            "identifier": "1962677815",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Women's Group Therapy
• Carole Gail Cera, LICSW
• Becky Cervenka
• Sonja Chafin, RN,CFNP
• Nathan A Champine, PA-C
• Nita Jill Champion, N.D.
• Changing Lifestyle Counseling Center
• Kayla Chapman
• Charles L Hirt DDS PA
• Arif Riaz Chaudhry, MD

• Naturopath in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Naturopath in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.