Organization Active NPI

Mommys Beautiful Sunrise Inc

  • Community Health Worker
  • Milwaukee, WI
National Provider Identifier
1346047164
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Dr. Shanice Baquet, HOLISTIC PRNPI 1760244495
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)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
Case Management Agency 251B00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Mommy Beautiful Sunrise Inc Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.