Active NPI
Sierra Pace
- Counselor
- Springfield, MO
National Provider Identifier
1821465063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2016014342
- Practice address
- 3050 S National Ave Ste 104
Springfield, MO 65804-4242 - Phone
- (417) 597-4572
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2016014342 | MO | Primary |
Addresses
Primary practice location
3050 S National Ave Ste 104
Springfield, MO 65804-4242
Mailing address
380 E State Highway CC Ste F101
Nixa, MO 65714-7677
Phone (417) 631-6145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016014342 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1821465063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E STATE HIGHWAY CC STE F101",
"city": "NIXA",
"state": "MO",
"postal_code": "657147677",
"telephone_number": "417-631-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 S NATIONAL AVE STE 104",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044242",
"telephone_number": "417-597-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "SIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2016014342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.