My Mom Glow LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

MY MOM GLOW LLC

Practice address

2750 N 29TH Ave Ste 309
Hollywood, FL 33020-1521

Phone

(954) 880-1182

Fax

(954) 301-8385

NPI assigned

May 15, 2025

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Ann Lobaina, LM,CPM,IBCLCNPI 1134550890

Title

Owner

Phone

(305) 600-8109

Specialties & licenses 2

Addresses

Other names 1

• My Mom Glow Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Ann Lobaina, LM,CPM,IBCLC

  • Midwife
  • Hollywood, FL
  • NPI 1134550890

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1790576957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SW 67TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231274",
            "telephone_number": "305-600-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE STE 309",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-880-1182",
            "fax_number": "954-301-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOM GLOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "LOBAINA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-600-8109",
        "authorized_official_credential": "LM,CPM,IBCLC"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Mom Glow",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Midwife in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.