BELLA LUNA WOMAN CARE LLC (NPI# 1215233697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215233697 |
| Entity Type | Organization |
| Organization Name | BELLA LUNA WOMAN CARE LLC |
| Other Organization Name | BELLA MAMA LACTATION CENTER |
| Practice Address |
968 Grand Ave Saint Paul MN 55105-3014 |
| Practice Telephone | 6518952520 |
| Practice Fax Number | 6513303768 |
| Mailing Telephone | 6518952520 |
| Mailing Fax Number | 6513303768 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MS. ASZANI STODDARD KUNKLER (OWNER) |
| Authorized Official Telephone | 6123564072 |
| Authorized Official Credential | CNM, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R192674-3 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bella Mama Lactation Center | Doing Business As Name - Organization |
| Street Address |
968 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629191598 | Amy Elizabeth Johnson-grass | Nutritionist | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2007-04-07 |
| 1104441666 | Larissa Rose Jarvis | Advanced Practice Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2020-06-10 |
| 1689223356 | Brooke Inez Ellingson Eischens | Advanced Practice Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2019-09-05 |
| 1841769197 | Sara Ann R Goff | Lactation Consultant, Non-RN | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2018-11-15 |
| 1184140402 | Rachel A Hanus | Advanced Practice Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2017-08-17 |
| 1750813044 | Rachel Stapleton | Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2017-03-28 |
| 1063964765 | Amanda Victoria Pittman | Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2016-10-28 |
| 1790122323 | Amanda Devoogdt | Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2013-05-22 |
| 1194063214 | Katrina Karis Wu | Advanced Practice Midwife | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2013-01-24 |
| 1386988764 | Jillian Frances Wood | Nurse Practitioner | 968 Grand Ave, Saint Paul, MN 55105-3014 | 2012-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1932597002 | Minnesota Doc | Clinic/Center | 1450 Energy Park Dr, Saint Paul, MN 55108-5274 | 2014-12-24 |
| 1669874392 | Group Health Plan, Inc. | Clinic/Center | 8200 Coral Sea St Ne, Saint Paul, MN 55112 | 2014-09-25 |
| 1417438870 | Occupational Health Centers of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104-1852 | 2018-08-23 |
| 1750736559 | Ritual, LLC | Clinic/Center | 780 Lexington Pkwy S, Saint Paul, MN 55116-2350 | 2016-04-28 |
| 1861857302 | Group Health Plan, Inc. | Clinic/Center | 375 Jackson St, Suite 240, Saint Paul, MN 55101 | 2015-12-29 |
| 1275963969 | Shilpa S. Parikh, Dc, Pllc | Clinic/Center | 1821 Saint Clair Ave, Suite B, Saint Paul, MN 55105-1642 | 2013-11-18 |
| 1154758639 | Multicultural Home Care LLC | Clinic/Center | 1821 University Ave W, Saint Paul, MN 55104-2801 | 2013-09-30 |
| 1477829323 | Regions Hospital | Clinic/Center | 640 Jackson St, Suite N1020, Saint Paul, MN 55101-2502 | 2012-03-26 |
| 1972800498 | University Home Health Care, LLC | Clinic/Center | 379 University Ave W Ste 214, Saint Paul, MN 55103-2060 | 2011-02-18 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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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.