The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maple Heights and Ohio

75 active clinicians are listed under Licensed Practical Nurse with a practice address in Maple Heights, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Heights

0% of these 75 clinicians have the CMS telehealth indicator.

0% of these 75 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-18

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 164806

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location February 18, 2026

Registered at 5790 LEE RD S APT 2, MAPLE HEIGHTS, OH 441373974 (Tel: 2167444709)

📍

Updated Business Mailing Address February 18, 2026

Registered at 5790 LEE RD S APT 2, MAPLE HEIGHTS, OH 441373974 (Tel: 2167444709)

✅

NPI Profile Active January 13, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) January 13, 2021

Registered at 5511 MORGAN ST, MAPLE HEIGHTS, OH 441373315 (Tel: 2163585436)

📍

Business Mailing Address (Initial Record) January 13, 2021

Registered at 5511 MORGAN ST, MAPLE HEIGHTS, OH 441373315 (Tel: 2163585436)

👤

Provider Name / Credentials (Initial Record) January 13, 2021

Recorded as MIA PROFFETT, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2021

Licensed Practical Nurse (license number reported to NPPES: OH 164806)

🟢

Initial NPI Registration & Enumeration January 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740879865

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 13, 2021

Last Update: February 18, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5790 Lee Rd S Apt 2

Maple Heights, OH 441373974

Phone: 2167444709

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.