Individual provider Active NPI

Veronica Mullet, CNM, NP

  • Advanced Practice Midwife
  • Overland Park, KS
National Provider Identifier
1538669932
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
53-78197-101 Issued in KS
Practice address
9209 W 110TH St # 36
Overland Park, KS 66210-1401
Phone
(913) 735-4888
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019039216 MO
Family Nurse Practitioner 363LF0000X 53-78341-101 KS
Advanced Practice Midwife 367A00000X 53-78197-101 KS Primary

Addresses

Primary practice location

9209 W 110TH St # 36
Overland Park, KS 66210-1401

Mailing address

9209 W 110TH St # 36
Overland Park, KS 66210-1401

Other practice location 1

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4400

Other practice location 2

1516 W Maple Ave
Independence, MO 64050-3479
Phone (816) 521-5316

Other practice location 3

201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 228-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000146 KS Practitioner - Certified Nurse Midwife (CNM) 2466863147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Witmer Rd
Suite 220
Horsham, PA 19044-2291

13500 Powers CT
Fort Myers, FL 33912-4503

2000 Health Park Dr
Brentwood, TN 37027-4692

9209 W 110TH St
Suite 36
Overland Park, KS 66210-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78341-101KSMDFamily Nurse Practitioner
53-78197-101KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Kansas Emergency Physicians, LLC CurrentSince Oct 1, 2023 Accepting new patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
New Woman Obstetrics and Gynecology, LLC PastSince Aug 14, 2020 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

228 NW Oldham Pkwy
Lees Summit, MO 64081
Phone (816) 600-4075

Interoperability endpoints

  • Direct secure messaging: veronica.mullet.1@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1538669932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 W 110TH ST # 36",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 W 110TH ST # 36",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101401",
            "telephone_number": "913-735-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640503479",
            "country_code": "US",
            "telephone_number": "816-521-5316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 NW R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLET",
        "first_name": "VERONICA",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019039216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78341-101",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-78197-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.