Organization Active NPI

Moon Cycle Mama Doula and Wellness

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
National Provider Identifier
1497617484
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MOON CYCLE MAMA DOULA AND WELLNESS
Practice address
3838 W 111TH St
Chicago, IL 60655-4095
Phone
(773) 234-2260
NPI assigned
Nov 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Kerri HoneywoodNPI 1992307250
Title
Coo
Phone
(773) 642-4707

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3838 W 111TH St
Chicago, IL 60655-4095

Mailing address

1 E Erie St Ste 525
Chicago, IL 60611-2980
Phone (773) 234-2260

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": "1764201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1497617484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "773-234-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-234-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON CYCLE MAMA DOULA AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HONEYWOOD",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-642-4707"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.