Active NPI
Cecilia C Pace, R.N., P.H.N
- Home Health Registered Nurse
- Paradise, CA
National Provider Identifier
1467553636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN371306
- Practice address
- 6096 Cliff Dr
Paradise, CA 95969-3014 - Phone
- (530) 591-2569
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN371306 | CA | Primary |
Addresses
Primary practice location
6096 Cliff Dr
Paradise, CA 95969-3014
Mailing address
PO Box 4053
Paradise, CA 95967-4053
Phone (530) 591-2569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EPS014490 | Other | CA | INP |
| RVN002850 | Other | CA | INP |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN371306 | CA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467553636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4053",
"city": "PARADISE",
"state": "CA",
"postal_code": "959674053",
"telephone_number": "530-591-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6096 CLIFF DR",
"city": "PARADISE",
"state": "CA",
"postal_code": "959693014",
"telephone_number": "530-591-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "CECILIA",
"middle_name": "C",
"credential": "R.N., P.H.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "RN371306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INP",
"identifier": "EPS014490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INP",
"identifier": "RVN002850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.