Annelise Amy Pace, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

61062206 Issued in WA

Practice address

751 NE Blakely Dr Ste 1090
Issaquah, WA 98029-6201

Phone

(206) 215-3075

Fax

(206) 991-2367

NPI assigned

Jul 9, 2018

Last updated

May 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1023504446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041388",
            "telephone_number": "206-215-3075",
            "fax_number": "206-991-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR STE 1090",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "206-215-3075",
            "fax_number": "206-991-2367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Madison St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041388",
            "country_code": "US",
            "telephone_number": "206-215-3075",
            "fax_number": "206-991-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "ANNELISE",
        "middle_name": "AMY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "61062206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gena Paek

• Genetic Counselor (M.S.) in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Genetic Counselor (M.S.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.