Active NPI
Melanin Mommies PGH Inc
Doing business as Melanin Mommies Inc
- Prevention Professional
- East McKeesport, PA
National Provider Identifier
1861258857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- MELANIN MOMMIES PGH INC
- Doing business as
- Melanin Mommies Inc
Melanin Mommies Pgh Inc - Practice address
- 916 Florence Ave
East MC Keesport, PA 15035-1210 - Phone
- (412) 961-3500
- NPI assigned
- Feb 26, 2024
- Last updated
- Feb 26, 2024
- 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
- Latrice Rose
- Title
- Director
- Phone
- (412) 827-0009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | NU | Primary |
Addresses
Primary practice location
916 Florence Ave
East MC Keesport, PA 15035-1210
Mailing address
5831 Forward Ave # 1067
Pittsburgh, PA 15217-2301
Phone (412) 827-0009
Other names 2
- Melanin Mommies Inc
- Melanin Mommies Pgh Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1861258857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 FORWARD AVE # 1067",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152172301",
"telephone_number": "412-827-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 FLORENCE AVE",
"city": "EAST MC KEESPORT",
"state": "PA",
"postal_code": "150351210",
"telephone_number": "412-961-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIN MOMMIES PGH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "LATRICE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "412-827-0009"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Melanin Mommies Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Melanin Mommies Pgh Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Joanne T. Jeffcoat, OT
- Norman L Johnson, PT DPT
- Jessica Lawrence, COTA/L
- Benjamin Joseph McCormley, D.M.D.
- Gino M Pagano, D.M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.