Pace Healing Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PACE HEALING CENTER

Practice address

11706 Wynnifred PL
Glenn Dale, MD 20769-9482

Phone

(240) 422-4768

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Fatmata B TejanNPI 1083313001

Title

Ceo

Phone

(240) 422-4768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatmata B Tejan

  • Clinical Social Worker
  • Washington, DC
  • NPI 1083313001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1255202255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 WYNNIFRED PL",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 WYNNIFRED PL",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699482",
            "telephone_number": "240-422-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "TEJAN",
        "authorized_official_first_name": "FATMATA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-422-4768"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Fru Tange Oriaifo
• Patience Orji
• Patricia Adaobi Oladunni Oshodi, M.D.
• Vanessa Osula, DNP, RN, AGPCNP-BC
• Isaac Osei Owusu, NP
• Ella Elizabeth Pantazis, D.C.
• Marcia Parris, M.D.
• Beatrice Ginette M. Patchou, NP
• Olumuyiwa A Paul, MD
• Mary Olabisi Peters, FNP

• Clinical Social Worker in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.