Restored Vitality Mobile Wound Care LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

RESTORED VITALITY MOBILE WOUND CARE LLC

Practice address

8833 Bond St
Overland Park, KS 66214-1707

Phone

(785) 318-0907

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Kayla Davis-Bimeal

Title

Owner

Phone

(913) 850-9048

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 7

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

• Kayla Ann Ballweg, APRN, NP-C

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1265879258
  Medicare reassignment NPD
• Johnna Suzanne Costello, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1184968133
  Medicare reassignment NPD
• Mary Kristin Davis Bimeal, FNP

  • Family Nurse Practitioner
  • Kansas City, KS
  • NPI 1932510195
  Medicare reassignment NPD
• Anaya Tina Kole, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Olathe, KS
  • NPI 1063066637
  Medicare reassignment NPD
• Bailey Ann Murphy, DNP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1275008369
  Medicare reassignment NPD
• Jane Allison Swezey, APRN

  • Family Nurse Practitioner
  • Parsons, KS
  • NPI 1801411962
  Medicare reassignment NPD
• Lori Jo Senne, APRN

  • Family Nurse Practitioner
  • Storm Lake, IA
  • NPI 1740651397

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1073300828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 BOND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 BOND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141707",
            "telephone_number": "785-318-0907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Kasold Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660471601",
            "country_code": "US",
            "telephone_number": "785-318-0901",
            "fax_number": "913-214-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORED VITALITY MOBILE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS-BIMEAL",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-850-9048"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Responsive Management Clinic, Inc.
• Restore Home Healthcare
• Restore/Thrive, LLC
• Joseph B. Reuben, M.D.
• Thomas Reuther, DPT
• Beverly Revels
• Rex Consulting Group, LC
• Luis Carlos Reyes, LPTA

• Physician Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.