PACE HEALTHCARE, LLC (NPI# 1447436332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447436332 |
| Entity Type | Organization |
| Organization Name | PACE HEALTHCARE, LLC |
| Other Organization Name | PACE CLINIC |
| Practice Address |
405 S Main St Springville UT 84663-2252 |
| Mailing Address |
10315 Bristlecone Way Cedar Hills UT 84062-8540 |
| Practice Telephone | 8014912238 |
| Mailing Telephone | 8013191800 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | AARON C HARTLE (OWNER) |
| Authorized Official Telephone | 8013191800 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5174297-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Pace Clinic | Doing Business As Name - Organization |
| Street Address |
405 S MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416795 | London Teri Jackson | Nurse Practitioner | 405 S Main St, Springville, UT 84663-2252 | 2020-08-06 |
| 1114565280 | The Village Pantry #9 | Pharmacy | 405 S Main St, Springville, UT 84663-2252 | 2019-12-19 |
| 1003320821 | Larry T Prettyman | Pharmacist | 405 S Main St, Springville, UT 84663-2252 | 2017-12-01 |
| 1558406181 | Village Pantry #9 | Pharmacy | 405 S Main St, Springville, UT 84663-2252 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578626727 | Aaron Christian Hartle | Nurse Practitioner | 405 South Main, Springville, UT 84663-9251 | 2006-12-19 |
| 1114909066 | Karen W Manning | Nurse Practitioner | 230 S Cascade Dr, Springville, NY 14141-9275 | 2005-11-16 |
| 1780209668 | Katelyn Siano | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2020-06-16 |
| 1811430275 | Justin Oden | Nurse Practitioner | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2016-12-02 |
| 1659724284 | Sarah J Krempa | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-07-19 |
| 1093164725 | Melissa Bryson | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-06-03 |
| 1376929182 | Melissa Emily Hake | Nurse Practitioner | 25 E Main St, Springville, NY 14141-1244 | 2015-08-04 |
| 1568866168 | Kathryn Conover Morrill | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2014-10-10 |
| 1972830768 | Jessica Alyse Parker | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2009-11-16 |
| 1497876031 | Sue W Payne | Nurse Practitioner | 480 Walker Dr, Springville, AL 35146-3250 | 2007-04-02 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on PACE HEALTHCARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.