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BREANNA KOOIENGA
NPI 1861125791
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 07, 2022
3031 W GRAND BLVD STE 600, DETROIT, MI 48202(734) 787-0324 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Jul 8, 2022 (2 updates tracked since 2022).

About Breanna Kooienga NPPES

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

BREANNA KOOIENGA (NPI 1861125791) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1861125791
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREANNA KOOIENGA
Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014
Mailing Address3031 W Grand Blvd Ste 600Detroit, MI 48202-3014
Phone(734) 787-0324
Sole ProprietorYes
Enumeration DateJuly 7, 2022
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1861125791 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.
3031 W GRAND BLVD STE 600, Detroit, MI 48202
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Other Providers at the Same Location NPPES 20

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

DR. ASHLEY NICHOLE DABABNEH DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
DR. JOSEPHINE IRUKAEGO NGAMA MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DR. DANA JAALOUK MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DEEPAK SASHTI MD
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ESEOSA OMOSIVIE URHOGHIDE M.D
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ADAM KHANAFER
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
RACHEL ADEBUKOLA O'DARE NP
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (708) 299-2318
MARIA NAUSHAB DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751

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 Kooienga's NPI number?

The NPI number for Breanna Kooienga is 1861125791. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Breanna Kooienga located?

Breanna Kooienga practices at 3031 W Grand Blvd Ste 600, Detroit, MI 48202. The listed phone number is (734) 787-0324.

What is Breanna Kooienga'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 Breanna Kooienga was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.