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MRS. KYESHA NICOLE WORTHAM CNA
NPI 1962097717
Home Health Aide in Detroit, MI

Active since March 03, 2021
14218 BRAILE ST, DETROIT, MI 48223(313) 404-8244 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kyesha Nicole Wortham Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KYESHA NICOLE WORTHAM CNA (NPI 1962097717) is an individual home health aide in Detroit, Michigan, licensed in Michigan (230012659100806) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1962097717
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameMRS. KYESHA NICOLE WORTHAMCredential: CNA
Location Address14218 BRAILE STDetroit, MI 48223-2720
Mailing Address14218 Braile StDetroit, MI 48223-2720 · (313) 404-8244
Phone(313) 404-8244
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedFebruary 2, 2021
✔ NPI 1962097717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in MI · 230012659100806
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
14218 BRAILE ST, Detroit, MI 48223
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyesha Wortham's NPI number?

The NPI number for Kyesha Wortham is 1962097717. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Kyesha Wortham located?

Kyesha Wortham practices at 14218 Braile St, Detroit, MI 48223. The listed phone number is (313) 404-8244.

What is Kyesha Wortham's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Kyesha Wortham was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.