Individual provider Active NPI

Kiesha Claybron, LPN

  • Licensed Practical Nurse
  • Chicago, IL
National Provider Identifier
1225998180
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043.128866 Issued in IL
Practice address
4025 S Michigan Ave Apt a
Chicago, IL 60653-2115
Phone
(312) 607-5285
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SC1501X 143128866 IL
Long-Term Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SL0600X 043128866 IL
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 043.128866 IL Primary

Addresses

Primary practice location

4025 S Michigan Ave Apt a
Chicago, IL 60653-2115

Mailing address

4025 S Michigan Ave Apt a
Chicago, IL 60653-2115
Phone (312) 607-5285

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

LicenseStateTypeSpecialty
043.128866ILMDLicensed Practical Nurse
143128866ILMDCommunity Health/Public Health Clinical Nurse Specialist
043128866ILMDLong-Term Care Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1225998180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 S MICHIGAN AVE APT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532115",
            "telephone_number": "312-607-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 S MICHIGAN AVE APT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532115",
            "telephone_number": "312-607-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBRON",
        "first_name": "KIESHA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "IL",
            "license": "143128866",
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "IL",
            "license": "043128866",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.128866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.