Breeanna June Skyler Kraft
Individual provider Active NPI Peer Specialist · Cassopolis, MI
NPI 1295597839 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1295597839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 960 M 60 E
Cassopolis, MI 49031-9339 - Phone
- (269) 445-2451
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
960 M 60 E
Cassopolis, MI 49031-9339
Mailing address
27850 Elm St
Dowagiac, MI 49047-9604
Other providers in Cassopolis, MI
- Olivia Grace Johnson
- Annie Karasch
- Keep Mi Smile Cassopolis PC
- Josslyn Kirkpatrick
- Alison Kozinski
- Steve Kujacznski
- Audrea Labadie
- Patricia Laing
- Lakeland Immediate Care Center
- Lakeland Immediate Care Center
All providers in Cassopolis, MI · Peer Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. 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.