ANDREA JO TACKETT


Address: 2500 State Route 5, Ashland, KY 41102-9102
Phone: 6064084000

ANDREA JO TACKETT (NPI# 1629611751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629611751
Entity Type Individual
Full Name ANDREA JO TACKETT
Credential APRN
Practice Address 2500 State Route 5
Ashland
KY 41102-9102
Mailing Address Po Box 1595
Ashland
KY 41105-1595
Practice Telephone 6064084000
Mailing Telephone 6064089571
Mailing Fax Number 6064086061
Enumeration Date 2019-10-22
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
3013898 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
250 Mcdavid Blvd, Grayson, KY 411431603 6064747835 6064748114

Other Providers ANDREA TACKETT

NPI Name Taxonomy Address Enumeration
1215138789 Andrea Hardison Tackett Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2007-05-30

Office Location

Street Address 2500 STATE ROUTE 5
City ASHLAND
State KY
Zip Code 41102-9102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285661462 Kari D Shields Family Medicine 2500 State Route 5, Ashland, KY 41102-9102 2006-06-26
1962652503 Jill Elizabeth Suttles Nurse Practitioner 2500 State Route 5, Ashland, KY 41102 2008-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275145807 Logan Kevin Payton Speech-Language Pathologist 2801 Adams Avenue, Ashland, KY 41102 2020-08-17
1902424203 Charles Russell Stewart Technician 2613 Piqua St., Ashland, KY 41102 2020-07-13
1235660069 Brittni Parsons Social Worker 6417 State Route 60, Ashland, KY 41102 2017-03-23
1013450212 A Center 4 Change Counselor 5900 Us Highway 60 West, Suite B, Ashland, KY 41102 2016-11-21
1437600814 Ashland Hospital Corporation Physician Assistant 3215 South 29th St, Ashland, KY 41102 2016-10-20
1174074553 Ashland Hospital Corporation Physician Assistant 1100 Bob Mccullough Dr, Ashland, KY 41102 2016-10-20
1598120495 David Zachary Porter Counselor 3728 Peachtree Rd, Ashland, KY 41102 2015-12-18
1326465147 Erik Mullins Physical Therapy Assistant 2800 Pleasant Avenue, Ashland, KY 41102 2014-03-19
1508095639 Kentucky Medical Logistics Inc Ambulance 425 22nd Street, Ashland, KY 41102 2009-07-10
1184872608 Carolyn Jayne Estepp Nurse Practitioner 12470 Us 60, Ashland, KY 41102 2008-09-09
Find all providers in zip 41102

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396235198 Jennifer Lynn Howard Nurse Practitioner 2703 Campbell St, Ashland, KY 41102-4362 2018-05-16
1649636770 Kristina Lyn Smith Nurse Practitioner 163 County Road 7, Ashland, NE 68003-1173 2016-01-05
1992949168 Ann M Batdorf Nurse Practitioner 1808 Centre St, Ashland, PA 17921-1123 2009-05-01
1972580595 Karin Diann Schwan Nurse Practitioner 2212 Mifflin Ave, Suite 220, Ashland, OH 44805-8848 2005-12-23
1790317048 Adrianne Blankenship Nurse Practitioner 2201 Lexington Ave, Ashland, KY 41101-2843 2020-02-05
1003332834 Mallory Erin Cummings Nurse Practitioner 100 Medical Dr, Ashland, VA 23005-1125 2017-08-14
1841713922 Todd William Hellmich Nurse Practitioner 1200 Central Ave Ste 4, Ashland, KY 41101-7575 2017-07-20
1689028524 Victoria Willis Nurse Practitioner 2021 Baney Rd S, Mid Ohio Internal Medicine, Ashland, OH 44805-4574 2016-04-18
1851771729 Amy Little Jones Nurse Practitioner 83745 Highway 9, Suite B, Ashland, AL 36251-7988 2015-06-04
1679973804 Christina Michelle Parsons Nurse Practitioner 613 23rd St Ste 230, Ashland, KY 41101-2868 2014-08-25
Find all providers in ASHLAND

Competitor

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City ASHLAND
Zip Code 41102

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Dataset Information

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.

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