Breonna Warren
Individual provider Active NPI Doula · Springfield, MI
NPI 1093551483 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1093551483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 5293-18 (MI)
- Practice address
- 774 Goguac St W
Springfield, MI 49015-2081 - Phone
- (269) 788-4161
- NPI assigned
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5293-18 | MI | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 5293-18 | MI | Yes |
| Community Health Worker |
172V00000X | MI |
Addresses
Primary practice location
774 Goguac St W
Springfield, MI 49015-2081
Mailing address
774 Goguac St W
Springfield, MI 49015-2081
Phone (269) 788-4161
Other providers in Springfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.