Organization Active NPI

Emily Champoux MPH, Rd

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1942823240
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EMILY CHAMPOUX MPH, RD
Practice address
8 Moulton St
San Francisco, CA 94123-3521
Phone
(651) 328-1616
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Emily Katherine Champoux, MPH, RDNPI 1952943250
Title
Registered Dietitian
Phone
(651) 328-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

8 Moulton St
San Francisco, CA 94123-3521

Mailing address

8 Moulton St # a
San Francisco, CA 94123-3521
Phone (651) 328-1616

Other practice location 1

61 Gough St
San Francisco, CA 94102-5901
Phone (651) 328-1616

Other practice location 2

650 Mission St
San Francisco, CA 94105-4059
Phone (651) 328-1616

Other identifiers 1

IdentifierTypeStateIssuer
1952943250MedicaidMD

National Provider Directory

National Provider Directory

Locations

61 Gough St
San Francisco, CA 94102
Phone (651) 328-1616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1942823240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MOULTON ST # A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233521",
            "telephone_number": "651-328-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MOULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233521",
            "telephone_number": "651-328-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Gough St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025901",
            "country_code": "US",
            "telephone_number": "651-328-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941054059",
            "country_code": "US",
            "telephone_number": "651-328-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY CHAMPOUX MPH, RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CHAMPOUX",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "651-328-1616",
        "authorized_official_credential": "MPH, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952943250",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.