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JORDAN S PACHECO
NPI 1417838780
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since September 11, 2025
2200 BONFORTE BLVD, PUEBLO, CO 81001(719) 549-2711 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan S Pacheco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN S PACHECO (NPI 1417838780) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1417838780
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN S PACHECO
Location Address2200 BONFORTE BLVDPueblo, CO 81001-4901
Mailing Address4796 Goldfinch CtPueblo, CO 81008-1909 · (719) 225-5772
Phone(719) 549-2711
Sole ProprietorNo
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1417838780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2200 BONFORTE BLVD, Pueblo, CO 81001
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN RAPHAEL
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
AIDAN OLSON
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (303) 882-2791
NATASHA BALCOM
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 338-8035
PROF. ROGER CLARK ATC, PHD
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2530
HAILEY DUZENACK
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
NICOLETTE JADE SAINT JOHN
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 661-0842
MS. HANNAH MARIA COMSTOCK
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
TESSA BOCCUMINI ATC
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Pacheco's NPI number?

The NPI number for Jordan Pacheco is 1417838780. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Jordan Pacheco located?

Jordan Pacheco practices at 2200 Bonforte Blvd, Pueblo, CO 81001. The listed phone number is (719) 549-2711.

What is Jordan Pacheco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Pacheco was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.