Active NPI
Jennifer Kosakowski
- Doula
- Flint, MI
National Provider Identifier
1396593091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (810) 262-9000
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | MI | Primary | |
| Doula | 374J00000X |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
54914 Penzien Dr
Macomb, MI 48042-2368
Phone (586) 202-0739
Other practice location 1
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1396593091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54914 PENZIEN DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480422368",
"telephone_number": "586-202-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-262-9000"
}
],
"practiceLocations": [
{
"address_1": "401 S Ballenger Hwy",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323638",
"country_code": "US",
"telephone_number": "810-342-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSAKOWSKI",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.