Edna Pearl Mace, R.N.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN 208032 Issued in OH

Practice address

725 S Maple St
Lancaster, OH 43130-4843

Phone

(740) 689-9931

NPI assigned

Feb 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730227281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 ADAMS ST",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457641057",
            "telephone_number": "740-753-4664",
            "fax_number": "740-753-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S MAPLE ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304843",
            "telephone_number": "740-689-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "EDNA",
        "middle_name": "PEARL",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN 208032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Luse
• Samantha Lutz
• Steve Lutz, DPT
• Luxottica of America Inc. (LensCrafters #423)
• Megan Mabe, LSW
• Erica Jayne Mack, CNP
• Gavin Christopher Mackenzie, PHARMD
• Perri Mackey
• John Lawrence Macoskie, LSW LICDC-CS
• Destiny Ariel Maddux

• General Practice Registered Nurse in Lancaster, OH
• Providers in Lancaster, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.