Andrea Pacheco-Amaro

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-100205 Issued in AZ

Practice address

1025 E Broadway Rd Ste 101
Tempe, AZ 85282-1535

Phone

(626) 802-8843

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1487426664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W BASELINE RD APT 1026",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831173",
            "telephone_number": "626-802-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E BROADWAY RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821535",
            "telephone_number": "626-802-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-AMARO",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-100205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Oxendale, RN
• Robert Thomas Oyster, RPH
• P and T Committee, LLC
• Carolyn Beth Pace, M.D.
• Philip Pace, PT, DPT
• Desiree Pacheco
• Kelli Pacicco, M.A., L.A.C.
• Pacific Mental Health Arizona LLC
• Diana M Padilla, MS, ATC, EMT
• Emily Marie Padilla, CCC-SLP

• Athletic Trainer in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.