MEGAN RACHELLE TACKETT (NPI# 1720589559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720589559 |
| Entity Type | Individual |
| Full Name | MEGAN RACHELLE TACKETT |
| Credential | APRN |
| Practice Address |
7629 Ky Route 979 Grethel KY 41631 |
| Mailing Address |
1709 Ky Route 321 Ste 3 Prestonsburg KY 41653-9097 |
| Practice Telephone | 6065872200 |
| Mailing Telephone | 6068868546 |
| Mailing Fax Number | 6068868548 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012109 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 Willow Dr, Auxier, KY 416029259 | 6068868997 | |
| 822 S Mayo Trl, Paintsville, KY 412401384 | 6067895541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730323460 | Megan Nicole Tackett | Pediatrics | 648 Hartsville Pike, Gallatin, TN 37066-2523 | 2009-04-24 |
| Street Address |
7629 KY ROUTE 979 |
| City | GRETHEL |
| State | KY |
| Zip Code | 41631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542746 | Teresa Obrien-conley | Counselor | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-07-19 |
| 1790268530 | Shanna Jade Hall | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2018-09-07 |
| 1649690538 | Christina Newsome | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2014-04-18 |
| 1437388022 | Sana Ehsan | Family Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2009-07-06 |
| 1780854026 | William T Connelly | Social Worker | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2008-03-03 |
| 1154367191 | Big Sandy Health Care Inc | Clinic/Center | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2006-06-20 |
| 1942246970 | Big Sandy Health Care Inc | Durable Medical Equipment & Medical Supplies | 7629 Ky Route 979, Mud Creek Clinic Pharmacy, Grethel, KY 41631-6304 | 2006-06-20 |
| 1922090190 | Jagan Annabathula | Internal Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-08-16 |
| 1013909282 | Robin D Holbrook | Physician Assistant | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609041979 | Floyd County Health Department | Public Health or Welfare | 6945 Ky Rt 979, Grethel, KY 41631 | 2008-04-28 |
| 1447419205 | Stephanie D Scott | Pharmacist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-06-06 |
| 1457515520 | Heather Whitt Spradlin | Dentist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-07-17 |
| 1144439688 | Teresa Newsome | Developmental Therapist | 767 Frasure Br, Grethel, KY 41631-6311 | 2007-05-22 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790268530 | Shanna Jade Hall | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2018-09-07 |
| 1649690538 | Christina Newsome | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
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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.