Active NPI
Michael Tubbs
- Community Health Worker
- Ypsilanti, MI
National Provider Identifier
1780569798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 959 Desoto Ave
Ypsilanti, MI 48198-6174 - Phone
- (734) 450-7960
- Fax
- (734) 450-7960
- NPI assigned
- Aug 8, 2025
- Last updated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
959 Desoto Ave
Ypsilanti, MI 48198-6174
Mailing address
17104 Englewood Ave
Allen Park, MI 48101
Phone (734) 450-7960
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1780569798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17104 ENGLEWOOD AVE",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "48101",
"telephone_number": "734-450-7960",
"fax_number": "734-450-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 DESOTO AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481986174",
"telephone_number": "734-450-7960",
"fax_number": "734-450-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.