Elizabeth G Champagne

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

298 Issued in LA

Practice address

1622 Agnes St
Breaux Bridge, LA 70517-3438

Phone

(337) 277-1069

Fax

(775) 248-9617

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth Champagne LLCGroup PAC ID 6002031929, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elizabeth Champagne, LLC

  • Registered Dietitian
  • Lafayette, LA
  • NPI 1841605755

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Dennis G Walker Family Clinic

  • Primary Care Clinic/Center
  • Crowley, LA
  • NPI 1760015721
  Medicare reassignment NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1972801884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 AGNES ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173438",
            "telephone_number": "337-277-1069",
            "fax_number": "775-248-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 AGNES ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173438",
            "telephone_number": "337-277-1069",
            "fax_number": "775-248-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Marie Carr, CCC-SLP
• Bryce Carter
• Cecilia Medicine Shoppe Inc (Cecilia Medicine Shoppe)
• Cecilia Pharmacy, Inc.
• Cecilia RX Inc (Meches Family Drugs)
• Jasmine Chapman
• Justyn Charles
• Sommer Marie Charles
• Tehmi Jahi Chassion, PHARM. D.
• Dennessa Chentlen

• Registered Dietitian in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.