Gracie Westbrook Packwood, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2527 Issued in TX

Practice address

1601 Keller Pkwy
Keller, TX 76248-3703

Phone

(817) 431-1450

Fax

(817) 431-0424

NPI assigned

Mar 26, 2007

Last updated

Apr 28, 2021By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

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 Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpackwood16055@cookchildrens.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1437277654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483703",
            "telephone_number": "817-431-1450",
            "fax_number": "817-431-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKWOOD",
        "first_name": "GRACIE",
        "middle_name": "WESTBROOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpackwood16055@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1006 Keller Pkwy",
            "address_2": "STE 103",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762483694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpackwood16055@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1601 Keller Pkwy",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762483703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ortholonestar, PLLC (Texas Orthopaedic Associates)
• Leslie Ortiz
• Jaqui Otto
• Nora Kathleen Oxley, LPC
• Thomas Pace, MD
• Maegan Padilla, RBT
• Tracy Lynn Pahl
• Palo Pinto County Hospital District (Avir at Keller)
• Pancho Independent Pharmacy Inc (Creekwood Pharmacy)
• Brittney Lynn Papenthien, PHARM.D.

• Pediatrics Physician in Keller, TX
• Providers in Keller, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.