Koyona Poplar, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704379693 Issued in MI

Practice address

5450 N Jennings Rd
Flint, MI 48504-1112

Phone

(810) 835-3706

NPI assigned

Apr 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Koyona Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1871380147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 N JENNINGS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041112",
            "telephone_number": "810-835-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 N JENNINGS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041112",
            "telephone_number": "810-835-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLAR",
        "first_name": "KOYONA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704379693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOYONA",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eraina Ann Poole, MSW
• Katie Jean Poole, DNP, CPNP-PC
• Monika Poole, LLPC
• Petru Pop
• Sondreia Pope
• Rachel Racine Porcaro, OTR
• Samara Porcaro, LPN
• Kimawa Kay Porter, PT, DPT, OMPT
• Parris Porter
• Rebecca Porter, LMSW

• Home Health Registered Nurse in Flint, MI
• Providers in Flint, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.