Brenda Mutehart, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209026643 Issued in IL

Practice address

35 Creekside Cir Apt D
Elgin, IL 60123-1103

Phone

(224) 628-4456

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda Mutehart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1396454021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CREEKSIDE CIR APT D",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231103",
            "telephone_number": "224-628-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CREEKSIDE CIR APT D",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231103",
            "telephone_number": "224-628-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEHART",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "00000000000000000000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209026643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MUTEHART",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven J Muraski, D.M.D., M.S.
• David Matthew Murauski
• Cathleen Murphy
• Maureen Elizabeth Murphy
• Sheila Murray, CRNA
• Myofascial Release & Therapy Services, Inc.
• Jerry Myrda, DO
• Christina Marie Mysliwiec
• Stanley Nabrinsky, MD
• David H Nadelman, MD

• Family Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.