Margaret A Clayborn, COMMUNITY HEALTH

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

133 E Main St
Benton Harbor, MI 49022-4409

Phone

(269) 408-2258

Fax

(989) 325-6435

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Margaret Clayborn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1023864774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224409",
            "telephone_number": "269-408-2258",
            "fax_number": "989-325-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224409",
            "telephone_number": "269-408-2258",
            "fax_number": "989-325-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORN",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "COMMUNITY HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "CLAYBORN",
            "prefix": "MRS.",
            "credential": "COMMUNITY HEALTH WOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda L Clark
• Breonna Clark
• Nicole Elizabeth Clark I
• William Clark
• Claudia'S Compassionate Home Care LLC
• Breann Marie Clayman
• Sarah Clayton
• Tori An Clayton
• Karen Nadine Clister, DDS
• Kelsi Cobb

• Community Health Worker in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.