Kara Lyn Mace

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5213972 Issued in FL

Practice address

1604 Visa Dr.
Ste. 2
Normal, IL 61761

Phone

(309) 846-4716

Fax

(309) 454-7348

NPI assigned

May 26, 2015

Last updated

May 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Your Extra Hands Surgical Services

  • Surgical Assistant
  • Normal, IL
  • NPI 1154502466
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1851770713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 VISA DR.",
            "address_2": "SUITE 2",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-846-4716",
            "fax_number": "309-454-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VISA DR.",
            "address_2": "STE. 2",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-846-4716",
            "fax_number": "309-454-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "KARA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5213972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Neil Lusk, PH.D.
• Denise Lynn Lux, AU.D.
• Robert Lynall, ATC
• Rebecca Tomara Lynn, LCPC, CADC, CCTP-II
• Nathaniel Gage Lyons, PT, DPT
• Pamela Madden, FNP
• Elizabeth Anne Madlem, APRN, CNP
• Madhavi Madugula, M.D.
• Janine Maere, MD
• Sara Katherine Maffit

• Licensed Practical Nurse in Normal, IL
• Providers in Normal, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.