Individual provider Active NPI

Mia Powell

  • Clinical Ethicist
  • Orlando, FL
National Provider Identifier
1033910724
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical EthicistTaxonomy code 174V00000X
License
FS937020 Issued in FL
Practice address
11830 Glass House LN Ste 120
Orlando, FL 32836-3797
Phone
(407) 964-8665
Fax
(407) 964-8665
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Ethicist 174V00000X FS937020 FL Primary

Addresses

Primary practice location

11830 Glass House LN Ste 120
Orlando, FL 32836-3797

Mailing address

11830 Glass House LN Ste 120
Orlando, FL 32836-3797
Phone (407) 964-8665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FS937020FLMDClinical Ethicist

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Vision Centers of Florida CurrentSince Mar 24, 2025 Accepting new patients

Locations

11830 Glass House Ln
Ste 120
Orlando, FL 32836
Phone (407) 964-8665

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1033910724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 GLASS HOUSE LN STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328363797",
            "telephone_number": "407-964-8665",
            "fax_number": "407-964-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 GLASS HOUSE LN STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328363797",
            "telephone_number": "407-964-8665",
            "fax_number": "407-964-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "FL",
            "license": "FS937020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.