Organization Active NPI

Healing Limbs PLLC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1255936795
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALING LIMBS PLLC
Practice address
504 Green River TRL
Fort Worth, TX 76103-1009
Phone
(877) 427-2407
Fax
(866) 730-7023
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Authorized official

Name
Kimberley K Mullens, APRN NP-CNPI 1407467624
Title
Owner
Phone
(817) 944-1454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

504 Green River TRL
Fort Worth, TX 76103-1009

Mailing address

504 Green River TRL
Fort Worth, TX 76103-1009
Phone (817) 944-1454

Other practice location 1

6301 Randol Mill Rd
Fort Worth, TX 76112-1204
Phone (817) 944-1454

Other practice location 2

1250 8th Ave Ste 545
Fort Worth, TX 76104-4160
Phone (817) 922-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208000949 TX Part B Supplier - Clinic/Group Practice 8426460999 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

1250 8th Ave
Ste 545
Fort Worth, TX 76104
Phone (817) 912-8080

6301 Randol Mill Rd
Fort Worth, TX 76112
Phone (817) 944-1454

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768089600000",
    "number": "1255936795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GREEN RIVER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031009",
            "telephone_number": "817-944-1454",
            "fax_number": "877-308-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GREEN RIVER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031009",
            "telephone_number": "877-427-2407",
            "fax_number": "866-730-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 RANDOL MILL RD",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761121204",
            "country_code": "US",
            "telephone_number": "817-944-1454",
            "fax_number": "877-308-6318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 8th Ave Ste 545",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044160",
            "country_code": "US",
            "telephone_number": "817-922-2430",
            "fax_number": "817-922-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING LIMBS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "MULLENS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-944-1454",
        "authorized_official_credential": "APRN NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; 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.