Sierra Brooke Mace, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

100620 Issued in WV

Practice address

601 Maple Ave
New Martinsville, WV 26155-1420

Phone

(304) 455-1990

Fax

(304) 455-5536

NPI assigned

Sep 28, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1124635875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAPLE AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551420",
            "telephone_number": "304-455-1990",
            "fax_number": "304-455-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAPLE AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551420",
            "telephone_number": "304-455-1990",
            "fax_number": "304-455-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "SIERRA",
        "middle_name": "BROOKE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "100620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sierra.mace@k12.wv.us",
            "affiliation": "N",
            "endpointDescription": "School Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "601 Maple Ave",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261551420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vickey J Longwell
• Debra Dale Loy
• Kyra Loy
• Anthony Peter Lucia
• Guy Everett Mace
• Christina Lynn Madden
• Neill R Marshall, OD
• Lisa M Martinez
• Martinsville SNF Operations LLC
• Daniel Shane Mason, CCC-A

• School Registered Nurse in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• School Registered Nurse in West Virginia

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