Active NPI
Superior Mothers
- Community Health Worker
- Germantown, WI
National Provider Identifier
1770896177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- SUPERIOR MOTHERS
- Practice address
- N115W16895 El Camino Dr
Germantown, WI 53022-3231 - Phone
- (414) 852-2077
- NPI assigned
- Jul 14, 2010
- Last updated
- Nov 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Katawna E Lowe
- Title
- Owner
- Phone
- (414) 852-2077
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
N115W16895 El Camino Dr
Germantown, WI 53022-3231
Mailing address
P.O. Box 1
N115 W16895 El Camino Drive
Germantown, WI 53022
Phone (414) 852-2077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383523200000",
"number": "1770896177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1",
"address_2": "N115 W16895 EL CAMINO DRIVE",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "53022",
"telephone_number": "414-852-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N115W16895 EL CAMINO DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223231",
"telephone_number": "414-852-2077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR MOTHERS",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-14",
"last_updated": "2013-11-04",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "KATAWNA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-852-2077",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.