Christine Ann Packard, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS008515L Issued in PA

Practice address

1705 Warren Ave Ste 304
Williamsport, PA 17701-2665

Phone

(570) 322-4791

Fax

(570) 322-5170

NPI assigned

Jul 17, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639197791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BRANDON AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013316",
            "telephone_number": "570-322-4791",
            "fax_number": "570-322-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE STE 304",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012665",
            "telephone_number": "570-322-4791",
            "fax_number": "570-322-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS008515L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Osman, DO
• Mohamed Osman, MD
• Leila Adhiambo Otieno, CRNA
• Olivia D. Ott, CNM, CRNP
• Kyle Otto, MD
• Alexandria Maria Pagana, M.D.
• Timothy James Pagana, MD
• William Joseph Pagana, MD
• Airneezer Paige-Delahaye, PTA
• Pain Management of Williamsport, LLC

• Psychiatry Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.