Aris Monique Claybrook, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

178133-30 Issued in WI

Practice address

310 5TH St Ste 101B
Racine, WI 53403-4605

Phone

(262) 488-5734

NPI assigned

Jun 19, 2020

Last updated

Jun 19, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifepulse Wound & Home Healthcare Agency LLC

  • Home Health Agency
  • Racine, WI
  • NPI 1932827029
  NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1447876941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ISABELLE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534024224",
            "telephone_number": "262-488-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 5TH ST STE 101B",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534034605",
            "telephone_number": "262-488-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBROOK",
        "first_name": "ARIS",
        "middle_name": "MONIQUE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "178133-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lifepulse.ac@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business affairs",
            "address_1": "310 5th St Ste 101B",
            "city": "Racine",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534034605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• City of Racine (City of Racine-Fire Department)
• City of Racine Health Department
• City of Racine Health Department
• Jennifer M Clark, RDH
• Stephanie Clausen-Kubarth, OTR
• Susan Coady
• Cassandra C Coates, SAC-IT
• Deborah Lynn Cohen-Smith, PH.D.
• Bonnie M Cohen, RN
• Kirstin Colligan, PT

• Registered Nurse in Racine, WI
• Providers in Racine, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.