Active NPI
Breanna Owen, CSFA
- Surgical Assistant
- Montrose, MI
National Provider Identifier
1700726312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0136001130
- Practice address
- 10318 Elms Rd
Montrose, MI 48457-9195 - Phone
- (810) 252-6374
- NPI assigned
- Mar 31, 2026
- Last updated
- Mar 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136001130 | VA | Primary |
Addresses
Primary practice location
10318 Elms Rd
Montrose, MI 48457-9195
Mailing address
10318 Elms Rd
Montrose, MI 48457-9195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136001130 | VA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1700726312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10318 ELMS RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10318 ELMS RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579195",
"telephone_number": "810-252-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "BREANNA",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136001130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.