Active NPI
Miriam Walker Pace, MD
- Family Medicine Physician
- Kennewick, WA
National Provider Identifier
1871347849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML61551017
- Practice address
- 320 W 10TH Ave Ste 202
Kennewick, WA 99336-6302 - Phone
- (509) 221-5520
- Fax
- (509) 221-5521
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML61551017 | WA | Primary |
Addresses
Primary practice location
320 W 10TH Ave Ste 202
Kennewick, WA 99336-6302
Mailing address
3911 SE Mall St Apt 2B
Portland, OR 97202-9104
Phone (504) 616-3936
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML61551017 | WA | MD | Family Medicine Physician |
Interoperability endpoints
- miriam.pace.1@18485.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1871347849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 SE MALL ST APT 2B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972029104",
"telephone_number": "504-616-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 10TH AVE STE 202",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366302",
"telephone_number": "509-221-5520",
"fax_number": "509-221-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "MIRIAM",
"middle_name": "WALKER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML61551017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
- Marian A. Owen, LICSW
- Nathan Wayne Owen, OD
- Christine Pabilona, M.D.
- Elizabeth C Pabst
- Heidi A. Pace
- Pacific Cataract and Laser Institute, Inc., P.C.
- Pacific Comprehensive Health PLLC
- Pacific Noble Primary Care Professional Limited Liability Com
- Pacific Northwest University of Health Sciences
- Pacific Vascular Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.