Rebecca L Tackett (NPI# 1447277934, PAC ID# 9830167576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447277934 |
| PAC ID by PECOS | 9830167576 |
| Professional Enrollment ID | I20040921000736 |
| Full Name | Rebecca L Tackett |
| Organization Legal Name | CHRIST HOSPITAL MEDICAL ASSOCIATES, II LLC |
| Address |
1955 Dixie Hwy Suite D Fort Wright KY 41011-2882 |
| Phone Number | 8593415757 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012197619 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360163 | CHRIST HOSPITAL |
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| Address | Phone | Organization |
|---|---|---|
| 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 | 8593415757 | CHRIST HOSPITAL MEDICAL ASSOCIATES, II LLC |
| Organization Legal Name | CHRIST HOSPITAL MEDICAL ASSOCIATES, II LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Jerry L Tolbert | Family Medicine | Christ Hospital Medical Associates, II LLC | 1838 Florence Pike B, Burlington, KY 41005-1838 |
| Laurie Ann Wallace | Nurse Practitioner | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Marguerite C Schabell | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Sheena Boury | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Kari Lynn Boswell | Nurse Practitioner | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Avanti Jakatdar | Internal Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Gerry L Tolbert | Family Medicine | Christ Hospital Medical Associates, II LLC | 1838 Florence Pike B, Burlington, KY 41005-1838 |
| Maria Fister Burton | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Laura G Powers | Nurse Practitioner | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Street Address |
1955 DIXIE HWY SUITE D |
| City | FORT WRIGHT |
| State | KY |
| Zip | 41011-2882 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa F Stanken | Family Medicine | The Christ Hospital Health Network Urgent Care, LLC | 1955 Dixie Hwy, Suite F, Ft Wright, KY 41011-2882 |
| Marguerite C Schabell | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Jacob Maxwell Gunzenhaeuser | Orthopedic Surgery | Christ Hospital Orthopedic Associates IIi LLC | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 |
| Stacey Moore | Nurse Practitioner | Christ Hospital Medical Specialists LLC | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 |
| Robert E Hollis Jr. | Family Medicine | The Christ Hospital Health Network Urgent Care, LLC | 1955 Dixie Hwy, Suite F, Ft Wright, KY 41011-2882 |
| Sheena Boury | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Kari Lynn Boswell | Nurse Practitioner | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Douglas J. Montgomery | Physician Assistant | Christ Hospital Orthopedic Associates LLC | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 |
| Avanti Jakatdar | Internal Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Maria Fister Burton | Family Medicine | Christ Hospital Medical Associates, II LLC | 1955 Dixie Hwy, Suite D, Fort Wright, KY 41011-2882 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mcintosh | Psychiatry | 1717 Dixie Hwy 200, Ft Wright, KY 41011 | |
| Brian A Mannion | Hematology/oncology | Christ Hospital Medical Specialists II, LLC | 1955 Dixie Hwy, Suite G, Fort Wright, KY 41011 |
| Lillian Louise Anderson | Nurse Practitioner | Christ Hospital Medical Specialists II, LLC | 1955 Dixie Hwy, Suite G, Fort Wright, KY 41011 |
| Amanda L. Fiorito | Nurse Practitioner | Christ Hospital Medical Specialists II, LLC | 1955 Dixie Hwy, Suite G, Fort Wright, KY 41011 |
| Srilakshmi Mukalla | Internal Medicine | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Wael E Eid | Endocrinology | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Ravinderjit Hans | Hospitalist | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Brittany Calico | Geriatric Medicine | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Brooke Bonow | Nurse Practitioner | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Jaspreet K Chahal | Endocrinology | Summit Medical Group, Inc. | 1500 James Simpson Jr Way, Covington, KY 41011-0800 |
| Find all physicians in zip 41011 | |||
| City | FORT WRIGHT |
| Zip Code | 41011 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WRIGHT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebecca L 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.