MICHELLE TACKETT (NPI# 1629474879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629474879 |
Entity Type | Individual |
Full Name | MICHELLE TACKETT |
Credential | R.D.H. |
Practice Address |
119 River Dr Pikeville KY 41501-1685 |
Practice Telephone | 6064375500 |
Practice Fax Number | 6064370873 |
Mailing Telephone | 6064375500 |
Mailing Fax Number | 6064370873 |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 3701 | KY | Dental Providers |
Street Address |
119 RIVER DR |
City | PIKEVILLE |
State | KY |
Zip Code | 41501-1685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205817301 | Debra Lynn Gibson | Nurse Practitioner | 119 River Dr, Pikeville, KY 41501-1685 | 2005-11-07 |
1649751546 | Andrea Jade Adams | Nurse Practitioner | 119 River Dr, Pikeville, KY 41501-1685 | 2018-08-28 |
1144623562 | Angela Smart | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1548663982 | Machea Thomas | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1164825584 | Christy Ratliff | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1346643780 | Shelia Wright | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1912300351 | Laura Tackett | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1538562970 | Ashley Tilley | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-30 |
1619370152 | Leah Johnson | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-29 |
1801299367 | Ruth Mccoy | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2014-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
Find all providers in zip 41501 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554274 | Cheryl Lynn Kennedy | Dental Hygienist | 146 Whitman Way, Georgetown, KY 40324-8690 | 2020-06-25 |
1538675483 | Aimee Medders | Dental Hygienist | 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210 | 2017-12-14 |
1104277177 | Danielle Lynn Gerage | Dental Hygienist | 465 Monks Rd, New Haven, KY 40051-6195 | 2016-06-30 |
1609259258 | Laura Aline Gossom | Dental Hygienist | 5405 Bloomfield Rd, Bardstown, KY 40004-9195 | 2015-07-01 |
1598161127 | Carol Brenner | Dental Hygienist | 3312 Ellis Way, Louisville, KY 40220-1944 | 2014-11-10 |
1811290513 | Michelle Marie Hanke | Dental Hygienist | 4393 Jasmine Rose Way, Lexington, KY 40515-6351 | 2010-12-19 |
1841450749 | Melinda Marie Phillips | Dental Hygienist | 8250 Coppercreek Dr, Louisville, KY 40222-6820 | 2008-06-13 |
1366655193 | Belinda Denise Demond | Dental Hygienist | 1511 Kirkwood Dr, Murray, KY 42071-3222 | 2007-05-08 |
1548336985 | W Bruce Combest Psc | Dental Hygienist | 402 Richmond Rd, Suite C, Berea, KY 40403 | 2006-11-28 |
1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.