Active NPI
Momme Wellness LLC
- Lactation Consultant (Registered Nurse)
- Crystal Lake, IL
National Provider Identifier
1285141218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- Legal business name
- MOMME WELLNESS LLC
- Practice address
- 690 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3605 - Phone
- (847) 858-1825
- NPI assigned
- Dec 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine Ann Olson, RN, IBCLC
- Title
- Owner
- Phone
- (847) 858-1825
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
690 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3605
Mailing address
3560 Wintergreen Ter
Algonquin, IL 60102-6365
Phone (847) 858-1825
National Provider Directory
National Provider DirectoryLocations
690 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 342-7181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Registered Nurse)
- Algonquin, IL
- NPI 1689188393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514419200000",
"number": "1285141218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 WINTERGREEN TER",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601026365",
"telephone_number": "847-858-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 E TERRA COTTA AVE STE C",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143605",
"telephone_number": "847-858-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMME WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-858-1825",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, IBCLC"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.