Organization Active NPI

Mindful Shine, LLC

  • Community Health Worker
  • Kansas City, MO
National Provider Identifier
1689560500
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MINDFUL SHINE, LLC
Doing business as
Mindful Shine
Practice address
4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022
Phone
(913) 313-9406
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Brittany Nicole Jones-Weldon
Title
Owner/Director
Phone
(913) 313-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022

Mailing address

4540 Lindell Blvd Apt 106
Saint Louis, MO 63108-2040
Phone (913) 313-9406

Other names 1

  • Mindful Shine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1689560500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 LINDELL BLVD APT 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082040",
            "telephone_number": "913-313-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 PENNSYLVANIA AVE STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113022",
            "telephone_number": "913-313-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SHINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "JONES-WELDON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "913-313-9406"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Shine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.