Individual provider Active NPI

Leslie Luanne Pace, APN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1609004126
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1081 Issued in NV
Practice address
6542 S McCarran Blvd
Suite B
Reno, NV 89509-6167
Phone
(775) 329-3484
Fax
(775) 329-5362
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1081 NV Primary

Addresses

Primary practice location

6542 S McCarran Blvd
Suite B
Reno, NV 89509-6167

Mailing address

6542 S McCarran Blvd
Suite B
Reno, NV 89509-6167
Phone (775) 329-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000910 NV Practitioner - Nurse Practitioner 1850539719 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1081NVMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: leslie.pace.1@23171.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1609004126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 S MCCARRAN BLVD",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096167",
            "telephone_number": "775-329-3484",
            "fax_number": "775-329-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 S MCCARRAN BLVD",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096167",
            "telephone_number": "775-329-3484",
            "fax_number": "775-329-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "LESLIE",
        "middle_name": "LUANNE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "1081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.