Organization Active NPI

Mother'S Milk LLC

  • Lactation Consultant (Registered Nurse)
  • Kamuela, HI
National Provider Identifier
1417428756
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MOTHER'S MILK LLC
Practice address
64-778 Paelialanui Street
Kamuela, HI 96743-2625
Phone
(808) 887-6659
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Elizabeth Kehau Kealoha, RN, IBCLCNPI 1184119554
Title
Owner
Phone
(808) 887-6659

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 1

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

Addresses

Primary practice location

64-778 Paelialanui Street
Kamuela, HI 96743-2625

Mailing address

PO Box 2625
Kamuela, HI 96743-2625
Phone (808) 887-6659

Other identifiers 1

IdentifierTypeStateIssuer
SMXPR0032688MedicaidHI

Other names 1

  • Mother's Milk Doing business as

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": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1417428756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967432625",
            "telephone_number": "808-887-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-778 PAELIALANUI STREET",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967432625",
            "telephone_number": "808-887-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER'S MILK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "KEALOHA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KEHAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-887-6659",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SMXPR0032688",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother's Milk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.