Heartfelt Medical Group LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HEARTFELT MEDICAL GROUP LLC

Practice address

10810 W 75TH St
Shawnee, KS 66214-1184

Phone

(913) 660-5365

Fax

(913) 660-5365

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Rose Mbula Mutunga, FNPNPI 1740541630

Title

Ceo

Phone

(913) 660-5365

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Rose Mbula Mutunga, FNP

  • Family Nurse Practitioner
  • Leavenworth, KS
  • NPI 1740541630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1942038427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 SHADY BEND CIR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277326",
            "telephone_number": "913-424-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 W 75TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141184",
            "telephone_number": "913-660-5365",
            "fax_number": "913-660-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "MUTUNGA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MBULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-660-5365",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Harris
• Scott Ronald Harvey, DC
• Betsy J Hasselquist, RN
• Nicolas Hawley
• Patricia Hearn, RN
• Heartland Assited Living
• Douglas Hedge
• Katelyn Kathleen Hedges
• Suzanne Heins
• Shelby Dawn Hemmings, ARNP

• Multi-Specialty Clinic/Center in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Multi-Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.