Individual provider Active NPI

Lindsay Pace, RN

  • Registered Nurse
  • Olive Branch, MS
National Provider Identifier
1083312433
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
896477 Issued in MS
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

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
896477MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Wellness PLLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

6810 Crumpler Blvd
Ste 100
Olive Branch, MS 38654
Phone (662) 892-8728

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.