MOMME WELLNESS LLC (NPI# 1285141218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285141218 |
| Entity Type | Organization |
| Organization Name | MOMME WELLNESS LLC |
| Practice Address |
690 E Terra Cotta Ave Ste C Crystal Lake IL 60014-3605 |
| Mailing Address |
3560 Wintergreen Ter Algonquin IL 60102-6365 |
| Practice Telephone | 8478581825 |
| Mailing Telephone | 8478581825 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Authorized Official Name | MS. CATHERINE ANN OLSON (OWNER) |
| Authorized Official Telephone | 8478581825 |
| Authorized Official Credential | RN, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers |
| Street Address |
690 E TERRA COTTA AVE STE C |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123818 | Rain To Rainbow Counseling, LLC | Social Worker | 690 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014 | 2018-08-06 |
| 1588142012 | Kellie Stryker | Social Worker | 690 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014-3605 | 2018-08-06 |
| 1275033425 | Lesley Karasinski | Lactation Consultant, Non-RN | 690 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014-3605 | 2018-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184830333 | M. Kristeen Rogers | Registered Nurse | 951 N Shore Dr, Crystal Lake, IL 60014-5243 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877364 | Charlene Marie Krause | Registered Nurse | 2880 N Lincoln Lake Dr, Coal City, IL 60416-9505 | 2019-12-09 |
| 1821569120 | Paula R Hart | Registered Nurse | 503 N. Elida St., Winnebago, IL 61088 | 2018-12-12 |
| 1497252852 | Katie Lynn Kenoe | Registered Nurse | 1430 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-4825 | 2018-04-11 |
| 1598263063 | Jessica Allmyer | Registered Nurse | 50 Devonshire Cir, Elgin, IL 60123-1242 | 2018-01-30 |
| 1043728322 | Nicola Ann Genelly | Registered Nurse | 4545 W Hutchinson St, Chicago, IL 60641-1989 | 2018-01-19 |
| 1689188393 | Catherine Ann Olson | Registered Nurse | 3560 Wintergreen Ter, Algonquin, IL 60102-6365 | 2017-11-17 |
| 1164935102 | Jaudon Rogers | Registered Nurse | 1905 W Foster Ave # 2, Chicago, IL 60640-1025 | 2017-11-13 |
| 1003328634 | Jacquelyn Ann Ordner | Registered Nurse | 175 County Road 400 E, Sigel, IL 62462-2134 | 2017-11-05 |
| 1821520800 | Elyse Fagan | Registered Nurse | 10430 S Spaulding Ave, Chicago, IL 60655-2427 | 2017-03-29 |
| 1265977482 | Holistic Beginnings, LLC | Registered Nurse | 8 Eagle Ctr Ste 6, O Fallon, IL 62269-1963 | 2016-12-24 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.