Stacy Grace Pazienza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0998239-NP Issued in CO

Practice address

2786 Fairview Ave N
Roseville, MN 55113-1306

Phone

(763) 412-1993

Fax

(888) 972-8341

NPI assigned

Oct 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stacygrace.pazienza@811393367080964.direct.elationemr.com

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1386426450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 HAVEN CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172017",
            "telephone_number": "609-458-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 FAIRVIEW AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131306",
            "telephone_number": "763-412-1993",
            "fax_number": "888-972-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZIENZA",
        "first_name": "STACY GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998239-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roslyn E Paterson, MA, LPC, BSN, RN
• Path2Possibilities
• Elena Catherine Patz, DPT
• Sarah Mary Paulseth, CRNA
• Patricia Payne IX
• PDG, P.a. (Park Dental)
• PDG, PA (Facial Pain Center)
• PDG,P.a. (Park Dental)
• Mardelle Brandt Pearson, M.A. L.P.
• James Archie Peasley, LMFT

• Family Nurse Practitioner in Roseville, MN
• Providers in Roseville, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.