Lauren Koenig, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704314525 Issued in MI

Practice address

58144 Gratiot Ave
New Haven, MI 48048

Phone

(586) 749-5197

Fax

(586) 749-5560

NPI assigned

Jan 27, 2022

Last updated

Sep 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downriver Community Services IncGroup PAC ID 9335135409, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHDBCA/Endpoint/FHDBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Algonac, MI
  • NPI 1851399570
  Medicare reassignment Care Compare group NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488
  NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Haven, MI
  • NPI 1679571392
  NPD
• Detroit Health Care for the Homeless

  dba St Francis Cabrini Clinic

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1982072963
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1003569310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 CUMBERLAND RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58144 GRATIOT AVE",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "48048",
            "telephone_number": "586-749-5197",
            "fax_number": "586-749-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704314525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Kalayjian, RD
• Candace Kasper, RD
• Cynthia Kendziuk, RN
• Brandon Sam Khaddor, D.D.S.
• Robbon Kippen
• Chandra Lowe, MSW
• Majestic Home Healthcare LLC.
• Stephanie Maldonado-Diaz
• Marcus K Free MD PLLC (A Better Doc)
• Doreen McComas

• Nurse Practitioner in New Haven, MI
• Providers in New Haven, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.