Jason Matthew Packard

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3820 N Oracle Rd
Tucson, AZ 85705-3227

Phone

(520) 843-1910

NPI assigned

Dec 1, 2023

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1043086838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 E ESCALANTE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303239",
            "telephone_number": "253-209-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053227",
            "telephone_number": "520-843-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Pacheco, FNP - BC, FNP - C
• Pacific Health System LLC
• Nicholas John Pacione, CRNA
• Alice A Packard
• Brett Levi Packard, PTA
• Acacia Packer, DO
• Andrea Paco
• Kelsey Mae Pacolt, DPT
• Talia Padawer, LMSW
• Holly Paddock

• Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.