MR. DARRYL DESHAWN CHAMPION (NPI# 1255650867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255650867 |
| Entity Type | Individual |
| Full Name | MR. DARRYL DESHAWN CHAMPION |
| Credential | MDX |
| Practice Address |
444 Lealand Lane Lebanon TN 37087 |
| Practice Telephone | 6155547401 |
| Practice Fax Number | 6155479323 |
| Mailing Telephone | 6155547401 |
| Mailing Fax Number | 6155479323 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
444 LEALAND LANE |
| City | LEBANON |
| State | TN |
| Zip Code | 37087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970990 | Darryl Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063864403 | Jennifer Rippetoe Lawrence | Specialist/Technologist, Other | 4267 Turnberry Rd, Lebanon, TN 37090-6503 | 2016-07-11 |
| 1588970990 | Darryl Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1376191783 | Erien Wynne Fryer | Specialist/Technologist, Other | 190 Hatcher Ln Ste B, Clarksville, TN 37043-5989 | 2019-08-28 |
| 1851856512 | Brittany Marie Baker | Specialist/Technologist, Other | 140 Dameron Ave # 1800, Knoxville, TN 37917-6434 | 2019-02-07 |
| 1265899959 | Delta Sleep Center Pllc | Specialist/Technologist, Other | 1505 Woodlawn Ave Ste B, Dyersburg, TN 38024-3145 | 2016-01-26 |
| 1013128701 | Eva Barrett Beal | Specialist/Technologist, Other | 463 Burnt Hill Rd, Unionville, TN 37180-8604 | 2007-05-24 |
| 1316159031 | Michael Shawn Jarrett | Specialist/Technologist, Other | 915 Poplar Springs Rd, Huntingdon, TN 38344-8867 | 2007-05-04 |
| 1164552832 | Renee Franklin | Specialist/Technologist, Other | 744 School Dr, Tn Dept of Health, Gainesboro, TN 38562-9575 | 2007-03-06 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
| 1184259350 | Nicole (bella) Bydlinski | Specialist/Technologist, Other | 750 Old Hickory Blvd Ste 150, Brentwood, TN 37027-5387 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.