A Mommys Promise

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

A MOMMYS PROMISE

Practice address

4822 N 66TH St
Milwaukee, WI 53218-4032

Phone

(414) 526-8077

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Kyshawn Williams

Title

Owner

Phone

(414) 526-8077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1497414346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 N 66TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184032",
            "telephone_number": "414-526-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 N 66TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184032",
            "telephone_number": "414-526-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MOMMYS PROMISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KYSHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-526-8077"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Milwaukee, WI
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.