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Active NPI 1770224982 Individual Practitioner Female Practitioner

Tanya Tackett

Licensed Practical Nurse • Grayson, KY

Professional Overview & Biography Verified Profile Summary

Tanya Tackett is a registered healthcare professional specializing in Licensed Practical Nurse in Grayson, KY. Practice services are available at 840 INTERSTATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

840 Interstate Dr

Grayson, KY 411431768

Telephone 6064745151
Associated Practice Facility / Clinic
🏢 Pathways, Inc. Facility NPI 1215368816

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Grayson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Grayson, KY (422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License KY 2039581

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License KY 2039581

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Practice Locations

201 22nd St

Ashland, KY 411017803

Phone: 6063298588

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Diedra Fields

Case Manager/Care Coordinator

NPI 1023866548
Nick Johnson

Psychologist

NPI 1033250980
Rachel James

Counselor

NPI 1043882186
Charles Miller

Behavior Analyst

NPI 1053781351
Larissa Huey

Licensed Practical Nurse

NPI 1073208609
Kara Marsh

Counselor - Mental Health

NPI 1124623772

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 28, 2025

Registered at 840 INTERSTATE DR, GRAYSON, KY 411431768 (Tel: 6064745151)

📍
Updated Practice Location August 02, 2024

Registered at 201 22ND ST, ASHLAND, KY 411017803 (Tel: 6063298588)

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 840 INTERSTATE DR, GRAYSON, KY 411431768 (Tel: 6064745151)

📍
Updated Business Mailing Address April 05, 2022

Registered at 840 INTERSTATE DR, GRAYSON, KY 411431768 (Tel: 6064745151)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as TANYA TACKETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Case Manager/Care Coordinator (License #2039581 in KY)

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770224982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: February 28, 2025
Sole Proprietor: No

Mailing Address

840 Interstate Dr

Grayson, KY 411431768

Phone: 6064745151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.