MRS. CASSIDY JO KOONS
NPI 1063207751
Student in an Organized Health Care Education/Training Program in Kendallville, IN

Q: What is Cassidy Koons's NPI number?

The NPI number for Cassidy Koons is 1063207751. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Q: What is Cassidy Koons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Koons was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 12, 2025

415 DRAKE RD, KENDALLVILLE, IN 46755(260) 347-0100 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Cassidy Jo Koons NPPES

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

MRS. CASSIDY JO KOONS (NPI 1063207751) is an individual student in an organized health care education/training program in Kendallville, Indiana and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063207751

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. CASSIDY JO KOONS

Location Address415 DRAKE RDKendallville, IN 46755-2007

Mailing Address415 Drake RdKendallville, IN 46755-2007 · (260) 347-0100 · Fax (260) 347-7168

Phone(260) 347-0100

Sole ProprietorYes

Enumeration DateApril 12, 2025

NPPES CertifiedApril 12, 2025

✔ NPI 1063207751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

415 DRAKE RD, Kendallville, IN 46755

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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 Cassidy Koons's NPI number?

The NPI number for Cassidy Koons is 1063207751. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Where is Cassidy Koons located?

Cassidy Koons practices at 415 Drake Rd, Kendallville, IN 46755. The listed phone number is (260) 347-0100.

What is Cassidy Koons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cassidy Koons was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.