MRS. KOINONIA ROBINSON (NPI# 1710517602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710517602 |
Entity Type | Individual |
Full Name | MRS. KOINONIA ROBINSON |
Practice Address |
4875 Coplin St Detroit MI 48215-2192 |
Mailing Address |
11830 Beaconsfield St Detroit MI 48224-4107 |
Practice Telephone | 3138221148 |
Mailing Telephone | 3134546676 |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3134546676 | 05 |
Street Address |
4875 COPLIN ST |
City | DETROIT |
State | MI |
Zip Code | 48215-2192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316065642 | Tonya Diana Leverett | Counselor | 4875 Coplin St, Detroit, MI 48215-2192 | 2007-03-26 |
1245845304 | Lyndsey Rigby | Student in an Organized Health Care Education/Training Program | 4875 Coplin St, Detroit, MI 48215-2192 | 2020-09-14 |
1881208718 | Mariena Celene Jones | Counselor | 4875 Coplin St, Detroit, MI 48215-2192 | 2020-09-08 |
1427607662 | Jasmine White | Student in an Organized Health Care Education/Training Program | 4875 Coplin St, Detroit, MI 48215-2192 | 2019-09-10 |
1851949903 | Barbara Jean Hale | Student in an Organized Health Care Education/Training Program | 4875 Coplin St, Detroit, MI 48215-2192 | 2019-09-03 |
1689237513 | Brandye Crawford | Peer Specialist | 4875 Coplin St, Detroit, MI 48215-2192 | 2019-04-16 |
1568933273 | Michelle Christina Mattison | Social Worker | 4875 Coplin St, Detroit, MI 48215-2192 | 2018-12-07 |
1730657818 | Jessica Marie - Harmonie Hubbard | Social Worker | 4875 Coplin St, Detroit, MI 48215-2192 | 2018-11-07 |
1417433889 | Kathy R Thomas | Counselor | 4875 Coplin St, Detroit, MI 48215-2192 | 2018-07-18 |
1598255184 | Maya Thottakath | Social Worker | 4875 Coplin St, Detroit, MI 48215-2192 | 2018-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
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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.