Mobile Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOBILE MEDICAL, LLC

Practice address

345 N Riverview St Ste 500
Wichita, KS 67203-4265

Phone

(316) 616-1055

Fax

(855) 633-0585

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Brent Sanders

Title

Ceo

Phone

(316) 616-1055

Specialties & licenses 2

Addresses

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

• Manuel Brockman, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1588152607

  MO

  Medicare reassignment
• Heidi Marie Carroll, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1821651167

  MO

  Medicare reassignment
• Susan Marie Giovanni, D.O.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1689616203

  MO

  Medicare reassignment
• Joanna Lee Short, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1356086169
  NPD
• Kristin Elizabeth Collins, MD

  • Internal Medicine Physician
  • Newton, MA
  • NPI 1134575038
  NPD
• Tammy Brewer, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1124417548

  Family

  NPD (past)
• Jennifer Katherine Jones, FNP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1659026938

  Family

  NPD (past)
• Amanda Peeples, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1942478698
  NPD (past)
• Jennifer Beth Spriggs, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1255648671

  Family

  NPD (past)
• Melissa A. Templin, APRN

  • Acute Care Nurse Practitioner
  • Wichita, KS
  • NPI 1306015060
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1366727463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034202",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 S Lexington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Harrisonville",
            "state": "MO",
            "postal_code": "647012444",
            "country_code": "US",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Douglas Ave Fl 2nd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023515",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-616-1055"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Mizell, M.S. CCC-SLP
• MJM Kansas Internal Medicine, P.a.
• MKC Counseling, LLC
• Mobile Doctors of Kansas
• Mobile Medical II, LLC
• Mobile OT LLC
• Mobile Wound Care L.L.C.
• Mobileyes Optometry LLC
• Madison Mobley
• Moc Wichita LLC

• All providers in Wichita, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.