Active NPI
Tierra Pace
- Public Health or Welfare Agency
- Elkton, MD
National Provider Identifier
1730531799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 21849
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.