Organization Active NPI

Tierra Pace

  • Public Health or Welfare Agency
  • Elkton, MD
National Provider Identifier
1730531799
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
21849 Issued in MD
Legal business name
TIERRA PACE
Practice address
3306 Stone Gate Blvd
Elkton, MD 21921-4152
Phone
(443) 485-7597
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Tierra Lee-Ann Pace, LGSW
Title
Counselor I/II
Phone
(443) 485-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 21849 MD Primary

Addresses

Primary practice location

3306 Stone Gate Blvd
Elkton, MD 21921-4152

Mailing address

3306 Stone Gate Blvd
Elkton, MD 21921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1730531799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 STONE GATE BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 STONE GATE BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219214152",
            "telephone_number": "443-485-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERRA PACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_middle_name": "LEE-ANN",
        "authorized_official_title_or_position": "COUNSELOR I/II",
        "authorized_official_telephone_number": "443-485-7597",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "21849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.