NPIMap

Organization Active NPI

Precious Moments PNCC LLC

  • Health Service Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1629739081
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRECIOUS MOMENTS PNCC LLC
Practice address
8577 West Cheyenne Street, Milwaukee, Wi, 53224, United
Milwaukee, WI 53224
Phone
(702) 846-7315
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Ms. Akyaa SMTH
Title
Owner
Phone
(702) 846-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

8577 West Cheyenne Street, Milwaukee, Wi, 53224, United
Milwaukee, WI 53224

Mailing address

8577 West Cheyenne Street, Milwaukee, Wi, 53224, United
Milwaukee, WI 53224
Phone (702) 846-7315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1629739081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 WEST CHEYENNE STREET, MILWAUKEE, WI, 53224, UNITED",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "702-846-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 WEST CHEYENNE STREET, MILWAUKEE, WI, 53224, UNITED",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "702-846-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MOMENTS PNCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SMTH",
        "authorized_official_first_name": "AKYAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-846-7315",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2022; 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.