Active NPI
Lindsay Pace, RN
- Registered Nurse
- Olive Branch, MS
National Provider Identifier
1083312433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 896477
- Practice address
- 6810 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1934 - Phone
- (662) 892-8728
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 896477 | MS | Primary |
Addresses
Primary practice location
6810 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1934
Mailing address
6810 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1934
Phone (662) 892-8728
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896477 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Wellness PLLC | Current | Accepting new patients |
Locations
6810 Crumpler Blvd
Ste 100
Olive Branch, MS 38654
Phone (662) 892-8728
Interoperability endpoints
- southlandwellness.lindsaypace@153911.advancedmd-direct.com
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.
-
- Anesthesiology Physician
- Olive Branch, MS
- NPI 1609586346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1083312433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 CRUMPLER BLVD STE 100",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541934",
"telephone_number": "662-892-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 CRUMPLER BLVD STE 100",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541934",
"telephone_number": "662-892-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "LINDSAY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "896477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.