Active NPI
Holly Nace
- Licensed Practical Nurse
- Hamburg, NY
National Provider Identifier
1245505916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 252084-1
- Practice address
- 4461 Clark St
Hamburg, NY 14075-3809 - Phone
- (716) 715-9089
- NPI assigned
- Mar 14, 2012
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 252084-1 | NY | Primary |
Addresses
Primary practice location
4461 Clark St
Hamburg, NY 14075-3809
Mailing address
4461 Clark St
Hamburg, NY 14075-3809
Phone (716) 715-9089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 252084-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1245505916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 CLARK ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140753809",
"telephone_number": "716-715-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 CLARK ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140753809",
"telephone_number": "716-715-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACE",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "252084-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
- Jason A Mumm, PHARMD
- John Munro, MSED, ATC
- Eleanor Murcko
- Mary Ellen Murray, MS SLP
- Katherine Myers, PT
- Rose Marie Naeger, MA CCC SLP
- Sara A. Nash, RPA-C
- Natural Chiropractic PC (Hamburg Natural Health)
- Bethany Leigh Nelligan, LMHC, CASAC
- New Health Chiropractic Associates, PLLC (New Health Chiropractic and Vibration Studio)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.