MRS. SANDRA DAVIS CHAMPAGNE (NPI# 1811062987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811062987 |
Entity Type | Individual |
Full Name | MRS. SANDRA DAVIS CHAMPAGNE |
Credential | RN. |
Practice Address |
4212 N 16th St Pasadena CA 91110-0698 |
Mailing Address |
Po Box 31001-0698 Pasadena CA 91110-0698 |
Practice Telephone | 6022631511 |
Practice Fax Number | 6022631619 |
Mailing Telephone | 6022631511 |
Mailing Fax Number | 6022631619 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN058582 | AZ | Nursing Service Providers |
Street Address |
4212 N 16TH ST |
City | PASADENA |
State | CA |
Zip Code | 91110-0698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
1861092504 | Kyle Kettle | Nurse Practitioner | 5030 Crenshaw Rd Ste 120, Pasadena, TX 77505-3141 | 2020-10-30 |
1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
1114526886 | Best Med Hospice Inc | Hospice Care, Community Based | 1242 E Colorado Blvd Ste E, Pasadena, CA 91106-1896 | 2020-10-22 |
1619576618 | Phuong Ha | Pharmacist | 8107 Ritchie Hwy, Pasadena, MD 21122-6917 | 2020-10-21 |
1053910950 | Liberty Hospice Services Inc | Hospice Care, Community Based | 28 N Oak Ave Ste 203, Pasadena, CA 91107-5870 | 2020-10-21 |
1285233197 | Best Med Home Health Inc | Home Health | 1242 E Colorado Blvd Ste C, Pasadena, CA 91106-1896 | 2020-10-21 |
Find all providers in PASADENA |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724689 | Deborah Ruth Toga | Registered Nurse | 587 Prospect Blvd, Pasadena, CA 91103-3235 | 2020-06-09 |
1679518138 | Roshann Rene Reese | Registered Nurse | 191 S San Gabriel Blvd, Pasadena, CA 91107-4839 | 2006-06-18 |
1811105133 | Patricia Ann Jones | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285031 | Yanhong Yuan | Registered Nurse | 2171 Junipero Serra Blvd Ste 600, Daly City, CA 94014-1990 | 2020-11-03 |
1760081988 | Christine J. Wilson | Registered Nurse | 15007 Hartland St, Van Nuys, CA 91405-3714 | 2020-10-19 |
1407466899 | Pamela Ann Engelke | Registered Nurse | 240 Nice Ln Apt 117, Newport Beach, CA 92663-2652 | 2020-07-31 |
1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
1750904066 | Emer Gaite | Registered Nurse | 1697 Greenyard Ct, Brentwood, CA 94513-5844 | 2020-05-20 |
1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
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.