Acacia Packer, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R2505 Issued in AZ

Practice address

3043 W Ina Rd Ste 115
Tucson, AZ 85741-2107

Phone

(520) 797-7070

Fax

(520) 797-7077

NPI assigned

Aug 27, 2014

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

Other names 1

• Acacia Szweda Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apacker18417@azacp.direct-ci.com

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

• Arizona Community Physicians PC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1205871076

  Family Medicine

  Medicare reassignment NPD
• Arizona Community Physician PC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tucson, AZ
  • NPI 1922141902
  NPD
• Northwest Hospital LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  NPD (past)
• Old Pueblo Pediatrics

  • Contractor
  • Tucson, AZ
  • NPI 1376723999
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1275933178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "PO BOX 245085",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245085",
            "telephone_number": "520-694-7432",
            "fax_number": "520-694-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 W INA RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412107",
            "telephone_number": "520-797-7070",
            "fax_number": "520-797-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 W Ina Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412107",
            "country_code": "US",
            "telephone_number": "520-797-7070",
            "fax_number": "520-797-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKER",
        "first_name": "ACACIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACACIA",
            "last_name": "SZWEDA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pacific Health System LLC
• Nicholas John Pacione, CRNA
• Alice A Packard
• Brett Levi Packard, PTA
• Jason Matthew Packard
• Andrea Paco
• Kelsey Mae Pacolt, DPT
• Talia Padawer, LMSW
• Holly Paddock
• Megan Paddock, LCSW

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.