INNOVATIVE WOMEN'S HEALTHCARE, PLLC
NPI 1104535335
Clinic/Center - Multi-Specialty in Maryville, IL

Active since November 16, 2022CLIA 14D2286225 · Microscopy
2016 VADALABENE DR STE D, MARYVILLE, IL 62062(618) 444-5475 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Women's Healthcare, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE WOMEN'S HEALTHCARE, PLLC (NPI 1104535335) is a healthcare organization registered as a multi-specialty in Maryville, Illinois and active in the NPI registry since November 2022. The organization holds a CLIA Microscopy certificate valid through July 25, 2027 and lists Tamara Kaye Young, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1104535335
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVATIVE WOMEN'S HEALTHCARE, PLLC
Location Address2016 VADALABENE DR STE DMaryville, IL 62062-6901
Mailing Address1087 Il Route 127Greenville, IL 62246-3041 · (618) 444-5475
Organization SubpartNo
Authorized OfficialTamara Kaye YoungOwner/manager · (618) 444-5475
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
NPI 1104535335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2016 VADALABENE DR STE D, Maryville, IL 62062

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2286225

Innovative Womens Healthcare PLLC · Maryville, IL
Active · expires Jul 25, 2027
CLIA Number14D2286225
Laboratory TypePractitioner Other
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorTamara K. Young
Laboratory Phone(618) 391-7030
Laboratory LocationInnovative Womens Healthcare PLLC2016 Vadalabene Dr - Ste D, Maryville, IL 62062
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Women's Healthcare, PLLC's NPI number?

The NPI number for Innovative Women's Healthcare, PLLC is 1104535335. It was assigned to this organization in the NPPES registry on November 16, 2022.

Where is Innovative Women's Healthcare, PLLC located?

Innovative Women's Healthcare, PLLC is located at 2016 Vadalabene Dr Ste D, Maryville, IL 62062. The listed phone number is (618) 444-5475.

What is Innovative Women's Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Innovative Women's Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2286225) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Women's Healthcare, PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Innovative Women's Healthcare, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Women's Healthcare, PLLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.