Active NPI
Jacqueline Michelle Winbush
- Community Health Worker
- Detroit, MI
National Provider Identifier
1225932478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4612 Guilford St
Detroit, MI 48224-2285 - Phone
- (313) 622-6247
- Fax
- (313) 469-1735
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Primary |
Addresses
Primary practice location
4612 Guilford St
Detroit, MI 48224-2285
Mailing address
4612 Guilford St
Detroit, MI 48224-2285
Phone (313) 622-6247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1225932478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 GUILFORD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482242285",
"telephone_number": "313-622-6247",
"fax_number": "313-469-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 GUILFORD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482242285",
"telephone_number": "313-622-6247",
"fax_number": "313-469-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINBUSH",
"first_name": "JACQUELINE",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.