Bella Luna Woman Care LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

R192674-3 Issued in MN

Legal business name

BELLA LUNA WOMAN CARE LLC

Doing business as

Bella Mama Lactation Center

Practice address

968 Grand Ave
Saint Paul, MN 55105-3014

Phone

(651) 895-2520

Fax

(651) 330-3768

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Aszani Stoddard Kunkler, CNM, MSN

Title

Owner

Phone

(612) 356-4072

Specialties & licenses 1

Addresses

Other names 1

• Bella Mama Lactation Center Doing business as

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1215233697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520",
            "fax_number": "651-330-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520",
            "fax_number": "651-330-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA LUNA WOMAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "KUNKLER",
        "authorized_official_first_name": "ASZANI",
        "authorized_official_middle_name": "STODDARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-356-4072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM, MSN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "R192674-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Mama Lactation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Bell
• Hannah Bell
• Mary K Bell
• Shana Bell, D.D.S
• Bell's Helping Hands
• Ashley Bella, PA
• Nicholas Beller, PSY.D., LP
• Nicole Louise Belleville
• Karen Anne Belling, MSW
• Alfredo M Beltran, MD

• Health Service Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.