Individual provider Active NPI

Earline Mizell

  • Social Worker
  • Altamonte Springs, FL
National Provider Identifier
1598208977
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
455 Douglas Ave
Suite 2155-4
Altamonte Springs, FL 32714-2569
Phone
(407) 682-3900
Fax
(321) 952-0294
NPI assigned
Dec 2, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

455 Douglas Ave
Suite 2155-4
Altamonte Springs, FL 32714-2569

Mailing address

PO Box 940924
Maitland, FL 32794-0924
Phone (407) 682-3900

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gecs of Florida Inc Current Accepting new patients

Locations

455 Douglas Ave
Ste 2155-4
Altamonte Springs, FL 32714
Phone (407) 529-4940

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1598208977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940924",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327940924",
            "telephone_number": "407-682-3900",
            "fax_number": "321-952-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DOUGLAS AVE",
            "address_2": "SUITE 2155-4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142569",
            "telephone_number": "407-682-3900",
            "fax_number": "321-952-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "EARLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.