Individual provider Active NPI

Damian Aaron Pace Jr., NRP, FP-C, CCP-C

  • Paramedic
  • Alexandria, VA
National Provider Identifier
1093216665
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
E201402677 Issued in VA
Practice address
1501 N Highview LN Apt 206
Alexandria, VA 22311-2346
Phone
(203) 817-2152
NPI assigned
Feb 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X E201402677 VA Primary

Addresses

Primary practice location

1501 N Highview LN Apt 206
Alexandria, VA 22311-2346

Mailing address

1501 N Highview LN Apt 206
Alexandria, VA 22311-2346
Phone (203) 817-2152

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
E201402677VAMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1093216665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N HIGHVIEW LN APT 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112346",
            "telephone_number": "203-817-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N HIGHVIEW LN APT 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112346",
            "telephone_number": "203-817-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "DAMIAN",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NRP, FP-C, CCP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E201402677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.