Reva D Tackett (NPI# 1215916044, PAC ID# 7719002864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1215916044 |
| PAC ID by PECOS | 7719002864 |
| Professional Enrollment ID | I20100914000471 |
| Full Name | Reva D Tackett |
| Organization Legal Name | LEXINGTON WOMEN'S HEALTH, PLLC |
| Address |
1720 Nicholasville Rd Suite 702 Lexington KY 40503-1489 |
| Phone Number | 8592648811 |
| Gender | F |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0547345209 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180103 | BAPTIST HEALTH LEXINGTON |
| 180143 | SAINT JOSEPH EAST |
| 180010 | SAINT JOSEPH HOSPITAL |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 | 8592648811 | LEXINGTON WOMEN'S HEALTH, PLLC |
| 1775 Alysheba Way, Suite 180, Lexington, KY 40509-2480 | 8592648811 | LEXINGTON WOMEN'S HEALTH, PLLC |
| Organization Legal Name | LEXINGTON WOMEN'S HEALTH, PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler N Halvaksz | Certified Nurse Midwife | Lexington Women's Health, Pllc | 1720 Nicholasville, Suite 702, Lexington, KY 40503-1489 |
| Jennifer A Fuson | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Iniko Zevon Sallee | Certified Nurse Midwife (cnm) | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Sarah Borders | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Grace A Gibbs | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Laure A Schadler | Certified Nurse Midwife (cnm) | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Shawna Mann | Nurse Practitioner | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Allison Cook | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Alisha Morgan | Certified Nurse Midwife (cnm) | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Sarah M Dougherty | Physician Assistant | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Street Address |
1720 NICHOLASVILLE RD SUITE 702 |
| City | LEXINGTON |
| State | KY |
| Zip | 40503-1489 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Fuson | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Charles A Kennedy | Infectious Disease | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| John H Chaney | Thoracic Surgery | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 |
| Iniko Zevon Sallee | Certified Nurse Midwife (cnm) | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Andrea L Banks | Internal Medicine | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| David F Dougherty | Infectious Disease | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| Shasta Cecil | Nurse Practitioner | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 |
| Susan E Hoff-thomas | Nurse Practitioner | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| Tamra Thompson | Nurse Practitioner | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 |
| Abby Priddle Benke | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1720 Nicholasville Rd, Lexington, KY 40503-1404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence Conrad Ross | Cardiac Electrophysiology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Orla M Rooney | Podiatry | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Nelson Lamkin Jr. | Allergy/immunology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Ian M Puntney | Chiropractic | 535 Wellington Way, Suite 270, Lexington, KY 40503-1331 | |
| Dawn Christine Stratton | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Christina Summer Nguyen-canter | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Danita Turpin | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Lisa Wang | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Samuel Haire | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Heechung Ko | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Find all physicians in zip 40503 | |||
| City | LEXINGTON |
| Zip Code | 40503 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LEXINGTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Reva D Tackett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.