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DOMINIQUE CHAMPION
NPI 1790321180
Licensed Practical Nurse in Farmingdale, NY

Active since November 21, 2019
81 LINCOLN AVE, FARMINGDALE, NY 11735(631) 882-5793 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Champion NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE CHAMPION (NPI 1790321180) is an individual licensed practical nurse in Farmingdale, New York, licensed in New York (330577-1) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1790321180
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDOMINIQUE CHAMPION
Location Address81 LINCOLN AVEFarmingdale, NY 11735-6843
Mailing Address81 Lincoln AveFarmingdale, NY 11735-6843 · (631) 882-5793
Phone(631) 882-5793
Sole ProprietorNo
Enumeration DateNovember 21, 2019
✔ NPI 1790321180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 330577-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
81 LINCOLN AVE, Farmingdale, NY 11735
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Champion's NPI number?

The NPI number for Dominique Champion is 1790321180. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Dominique Champion located?

Dominique Champion practices at 81 Lincoln Ave, Farmingdale, NY 11735. The listed phone number is (631) 882-5793.

What is Dominique Champion's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dominique Champion was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.