Michelle Jean Champion, L.AC.
Individual provider Active NPI Acupuncturist · Lakeport, CA
NPI 1982205332 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1982205332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 12768 (CA)
- Practice address
- 925 Bevins CT
Lakeport, CA 95453-9754 - Phone
- (707) 263-8383
- Fax
- (707) 263-5019
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- michelle.champion.p1@direct.lcthc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12768 | CA | Yes |
Addresses
Primary practice location
925 Bevins CT
Lakeport, CA 95453-9754
Mailing address
PO Box 1950
Lakeport, CA 95453-1950
Phone (707) 263-8383
Other practice location 1
14440 Olympic Drive
Clearlake, CA 95422-8809
Phone (707) 263-8383
Other names
- Michelle Jean Bummins
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.