JESSICA RENEE TACKETT (NPI# 1801448444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801448444 |
| Entity Type | Individual |
| Full Name | JESSICA RENEE TACKETT |
| Credential | NP-C |
| Practice Address |
571 Parkway Dr Salyersville KY 41465-9248 |
| Mailing Address |
Po Box 143 Shelbiana KY 41562-0143 |
| Practice Telephone | 6063496181 |
| Mailing Telephone | 8595372311 |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
3013573 | KY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013573 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF NURSING | 3013573 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346509478 | Jessica Renea Tackett | Family Medicine | 49 S Broadview St Ste 1, Greenbrier, AR 72058-8011 | 2012-05-09 |
| Street Address |
571 PARKWAY DR |
| City | SALYERSVILLE |
| State | KY |
| Zip Code | 41465-9248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247978 | Charles Edward Hardin Jr. | Family Medicine | 571 Parkway Dr, Hardin Medical Plaza, Salyersville, KY 41465-9248 | 2005-09-30 |
| 1720349301 | Salyersville Health Facilities Lp | Respite Care | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2012-05-31 |
| 1871853242 | Salyersville Health Facilities Lp | Skilled Nursing Facility | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2012-05-20 |
| 1104140680 | Dana Collett | Physical Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-26 |
| 1467775064 | Kimberly Crawford | Physical Therapy Assistant | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1255654844 | James Mullins | Physical Therapy Assistant | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1710200316 | Sherri May | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1942409412 | Ryan Mitchell Holbrook | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-07-16 |
| 1104023548 | Kerri Hardin | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-06-29 |
| 1447457890 | Mike Lawerence Pickle | Physical Therapy Assistant | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1669954681 | Heritage Pharmacy | Pharmacy | 870 Parkway Drive, Salyersville, KY 41465 | 2018-09-06 |
| 1922594506 | Big Sandy Health Care Inc | Clinic/Center | 214 Beriah Blvd, Salyersville, KY 41465 | 2018-07-06 |
| 1265944060 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 525 Dotson Branch, Salyersville, KY 41465 | 2017-11-02 |
| 1699299677 | Sarah Kathleen Dyer | Nurse Practitioner | 914 E Mountain Parkway, Salyersville, KY 41465 | 2017-08-01 |
| 1447683958 | Highlands Hospital Corp | Family Medicine | 186 Breanna Boulevard, Suite 100, Salyersville, KY 41465 | 2013-08-20 |
| 1366720021 | Zacharry F Slone | Chiropractor | 690 E Mountain Pwy, Salyersville, KY 41465 | 2011-07-29 |
| 1477844199 | Martin Hermann Leuschner | Pharmacist | 308 Parkway Dr, Salyersville, KY 41465 | 2011-04-28 |
| 1619268927 | Alicia Montgomery Ward | Pharmacist | 308 Parkway Drive, Rite Aid Pharmacy, Salyersville, KY 41465 | 2011-04-21 |
| 1578886081 | Machelle Renee Hardin | Speech-Language Pathologist | 125 Hardin Drive, Salyersville, KY 41465 | 2010-03-11 |
| Find all providers in zip 41465 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299677 | Sarah Kathleen Dyer | Nurse Practitioner | 914 E Mountain Parkway, Salyersville, KY 41465 | 2017-08-01 |
| 1013304344 | Cornerstone Family Health Care, LLC | Nurse Practitioner | Rt 30 Middlefork Box 535, Salyersville, KY 41465-0535 | 2015-04-24 |
| 1487938809 | Tiffany N Wright | Nurse Practitioner | 910 E Mountain Pkwy, Salyersville, KY 41465-8379 | 2011-10-04 |
| 1548213945 | Sarah Ann Patrick | Nurse Practitioner | Hc 61 Box 535, Salyersville, KY 41465-0535 | 2006-05-18 |
| 1679567945 | Mildred P Sizemore | Nurse Practitioner | 835 Parkway Dr, Hope Family Medical Center, Salyersville, KY 41465-9250 | 2005-09-01 |
| 1629518410 | Mary Jane Teeters | Nurse Practitioner | 100 Brianna Boulevard, Suite 100, Salyersville, KY 41465-9811 | 2017-02-28 |
| 1073064630 | Heather Blair | Nurse Practitioner | 835 Parkway Dr, Salyersville, KY 41465-9250 | 2016-10-19 |
| 1396111662 | Patsy Jackson | Nurse Practitioner | 787 Parkway Dr, Salyersville, KY 41465-9740 | 2015-08-20 |
| 1770862658 | Mary Music | Nurse Practitioner | 906 E Mountain Pkwy, Salyersville, KY 41465-8379 | 2011-08-10 |
| 1851404065 | Gail E Faria | Nurse Practitioner | 835 Parkway Drive, Hope Family Medical Center, Salyersville, KY 41465-0157 | 2006-08-15 |
| Find all providers in SALYERSVILLE | ||||
| City | SALYERSVILLE |
| Zip Code | 41465 |
Please comment or provide details below to improve the information on JESSICA RENEE TACKETT.
| 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.