Organization Active NPI

Heartland Nursing Group, PC

  • Infusion Therapy Registered Nurse
  • Ridgecrest, CA
National Provider Identifier
1003706979
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
HEARTLAND NURSING GROUP, PC
Doing business as
Aetheria Aesthetics & Wellness Nursing Group
Practice address
901 N Heritage Dr Ste 103
Ridgecrest, CA 93555-5541
Phone
(442) 270-5333
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Ma Jinky Mallory, RNNPI 1659100675
Title
Owner
Phone
(442) 270-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X Primary
Nurse Massage Therapist (NMT)Group: 193200000X MULTI-SPECIALTY GROUP 163WM1400X
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X

Addresses

Primary practice location

901 N Heritage Dr Ste 103
Ridgecrest, CA 93555-5541

Mailing address

435 Tepatitlan CT
Ridgecrest, CA 93555-3164
Phone (442) 270-5333

Other names 1

  • Aetheria Aesthetics & Wellness Nursing Group Doing business as

National Provider Directory

National Provider Directory

Locations

901 N Heritage Dr
Ste 103
Ridgecrest, CA 93555
Phone (442) 270-5333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1003706979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 TEPATITLAN CT",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553164",
            "telephone_number": "442-270-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N HERITAGE DR STE 103",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555541",
            "telephone_number": "442-270-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND NURSING GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "MA JINKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "442-270-5333",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aetheria Aesthetics & Wellness Nursing Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.