Mia Proffett, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

164806 Issued in OH

Practice address

5790 Lee Rd S Apt 2
Maple Heights, OH 44137-3974

Phone

(216) 744-4709

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1740879865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 LEE RD S APT 2",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373974",
            "telephone_number": "216-744-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 LEE RD S APT 2",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373974",
            "telephone_number": "216-744-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFETT",
        "first_name": "MIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "164806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Potillo
• Kimberly Powell
• Precious Angel Helping Hands LLC
• Demetrius A Price
• Breona Prince, LPN
• Elizabeth Anne Pugh, ED.S.
• Ashley Chaise Ragland, RN
• Marcie Jeanette Randle
• Adshane D Ransom
• Natasha Reese

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.