Individual provider Active NPI

Therese Bernadette Pace, CNS-BC

  • Continuing Education/Staff Development Registered Nurse
  • Columbus, OH
National Provider Identifier
1134558489
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
NS-13404 Issued in OH
Practice address
3152 Medina Ave
Columbus, OH 43224-4221
Phone
(614) 236-7592
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X NS-13404 OH Primary
Medical-Surgical Registered Nurse 163WM0705X RN-191022 OH

Addresses

Primary practice location

3152 Medina Ave
Columbus, OH 43224-4221

Mailing address

3152 Medina Ave
Columbus, OH 43224-4221
Phone (614) 236-7592

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
NS-13404OHMDContinuing Education/Staff Development Registered Nurse
RN-191022OHMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1134558489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 MEDINA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244221",
            "telephone_number": "614-236-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 MEDINA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244221",
            "telephone_number": "614-236-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "THERESE",
        "middle_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "CNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "OH",
            "license": "NS-13404",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN-191022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.