Active NPI
Mommys Beautiful Sunrise Inc
- Community Health Worker
- Milwaukee, WI
National Provider Identifier
1346047164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- MOMMYS BEAUTIFUL SUNRISE INC
- Practice address
- 8430 W Capitol Dr Ste 3025
Milwaukee, WI 53222-1846 - Phone
- (262) 457-9815
- NPI assigned
- Feb 27, 2025
- 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
- Dr. Shanice Baquet, HOLISTIC PR
- Title
- Executor Director
- Phone
- (262) 457-9815
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Community Health Worker | 172V00000X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Case Management Agency | 251B00000X | |||
| Doula | 374J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
8430 W Capitol Dr Ste 3025
Milwaukee, WI 53222-1846
Mailing address
2656 N Teutonia Ave # 6566
Milwaukee, WI 53206-9998
Phone (262) 457-9815
Other names 2
- Mommys Beautiful Sunrise Inc
- Mommy Beautiful Sunrise Inc
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1346047164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2656 N TEUTONIA AVE # 6566",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532069998",
"telephone_number": "262-457-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8430 W CAPITOL DR STE 3025",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221846",
"telephone_number": "262-457-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMMYS BEAUTIFUL SUNRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "BAQUET",
"authorized_official_first_name": "SHANICE",
"authorized_official_title_or_position": "EXECUTOR DIRECTOR",
"authorized_official_telephone_number": "262-457-9815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "HOLISTIC PR"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"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": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mommys Beautiful Sunrise Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mommy Beautiful Sunrise Inc",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Mommy Beautiful Sunrise Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.