Individual provider Active NPI

Mia Angelic Norflin, LPN

  • Licensed Practical Nurse
  • New Orleans, LA
National Provider Identifier
1720672363
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
20140405 Issued in LA
Practice address
4616 Wright Rd
New Orleans, LA 70128-3039
Phone
(504) 388-4168
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 20140405 LA Primary

Addresses

Primary practice location

4616 Wright Rd
New Orleans, LA 70128-3039

Mailing address

4616 Wright Rd
New Orleans, LA 70128-3039
Phone (504) 388-4168

Other identifiers 1

IdentifierTypeStateIssuer
20140405OtherLALPN

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
20140405LAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1720672363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 WRIGHT RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283039",
            "telephone_number": "504-388-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 WRIGHT RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283039",
            "telephone_number": "504-388-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORFLIN",
        "first_name": "MIA",
        "middle_name": "ANGELIC",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20140405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "20140405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.