Individual provider Active NPI

Mary Kathleen Miller, DNP, CNM, APRN

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1114059169
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN3211042 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 834-8164
Fax
(407) 389-5312
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP3211042 FL
Advanced Practice Midwife 367A00000X APRN3211042 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

13300 Gulf Blvd Apt C
Madeira Beach, FL 33708-2502
Phone (407) 716-9229

Other practice location 1

5341 Grand Blvd Ste 105
New Port Richey, FL 34652-4004
Phone (800) 470-6846

Other practice location 2

3511 5th Ave N
Saint Petersburg, FL 33713-7501
Phone (727) 895-2300

Other identifiers 1

IdentifierTypeStateIssuer
3401731MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150429000196 FL Practitioner - Certified Nurse Midwife (CNM) 6204987662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3211042FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Advanced Practice Midwife CurrentSince Feb 14, 2015 Accepting new patients

Locations

2665 State Road 580
Clearwater, FL 33761
Phone (727) 725-5121

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1114059169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 GULF BLVD APT C",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082502",
            "telephone_number": "407-716-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-834-8164",
            "fax_number": "407-389-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5341 Grand Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524004",
            "country_code": "US",
            "telephone_number": "800-470-6846",
            "fax_number": "727-478-0618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3511 5th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337137501",
            "country_code": "US",
            "telephone_number": "727-895-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "DNP, CNM, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP3211042",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN3211042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.