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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA HACKWORTH CCP
NPI 1689201402
Perfusionist in Plymouth, MI

Active since March 23, 2020
45211 HELM ST., PLYMOUTH, MI 48170(734) 525-9712(480) 777-1345 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Mar 23, 2020 (2 updates tracked since 2020).

About Breanna Hackworth Ccp NPPES

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

BREANNA HACKWORTH CCP (NPI 1689201402) is an individual perfusionist provider in Plymouth, Michigan and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1689201402
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameBREANNA HACKWORTHCredential: CCP
Location Address45211 HELM ST.Plymouth, MI 48170
Mailing Address45211 Helm StPlymouth, MI 48170 · (480) 777-0900 · Fax (480) 777-1345
Phone(734) 525-9712
Fax(480) 777-1345
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1689201402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
45211 HELM ST., Plymouth, MI 48170
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN NICHOLSON
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900
BILLIE JO CHAMBERLAIN
Specialist/Technologist, Other (Electroneurodiagnostic)
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900
JACOB BLACKMON CCP
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900
DAVID EVANS
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (148) 077-7060
CATHERINE BURLESON
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900
CHRISTOPHER WILDE CCP
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900
COURTNEY A. BASS
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
ALLISON C PERANTONI
Perfusionist
45211 HELM ST.
PLYMOUTH, MI 48170
Wayne County (480) 777-0900

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 Breanna Hackworth's NPI number?

The NPI number for Breanna Hackworth is 1689201402. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Breanna Hackworth located?

Breanna Hackworth practices at 45211 Helm St., Plymouth, MI 48170. The listed phone number is (734) 525-9712.

What is Breanna Hackworth's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Breanna Hackworth was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.