Organization Active NPI

Mommy's Own Milk LLC

  • Lactation Consultant (Non-RN)
  • Jackson, MS
National Provider Identifier
1386544039
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
MOMMY'S OWN MILK LLC
Practice address
901 N State St Ste N
Jackson, MS 39202-2627
Phone
(954) 507-7686
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOMMY'S OWN MILK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Neena Patel
Title
Member
Phone
(954) 507-7686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

901 N State St Ste N
Jackson, MS 39202-2627

Mailing address

7401 Wiles Rd Ste 322
Coral Springs, FL 33067-2036

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1386544039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 WILES RD STE 322",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N STATE ST STE N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022627",
            "telephone_number": "954-507-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY'S OWN MILK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOMMY'S OWN MILK LLC",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-507-7686"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.