Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881035962 Individual Practitioner Female Practitioner

Amanda Jo Tackitt , LPN

Licensed Practical Nurse • Martin, TN

Professional Overview & Biography Verified Profile Summary

Amanda Tackitt, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Martin, TN. Practice services are available at 920 UNIVERSITY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

920 University St

Martin, TN 382371605

Telephone 9315885829
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Martin, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Martin, TN (1262 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 57926

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lpn
57925 (TN)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Deett Perry , LPN

Licensed Practical Nurse

NPI 1003190075

Licensed Practical Nurse

Sarah Davidson , LPN

Licensed Practical Nurse

NPI 1033417050

Licensed Practical Nurse

Katie Pinkston , LPN

Licensed Practical Nurse

NPI 1043554611

Licensed Practical Nurse

Susan Winston , LPN

Licensed Practical Nurse

NPI 1083056741

Licensed Practical Nurse

Jennifer Sweatt , LPN

Licensed Practical Nurse

NPI 1164774287

Licensed Practical Nurse

Michelle Morgan , RN

Registered Nurse

NPI 1346514924

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2013

Registered at 920 UNIVERSITY ST, MARTIN, TN 382371605 (Tel: 9315885829)

📍
Updated Business Mailing Address July 17, 2013

Registered at 485 HUDSON SPRING RD, DRESDEN, TN 382251717 (Tel: 7313645616)

👤
Provider Name / Credentials Updated July 17, 2013

Recorded as AMANDA TACKITT, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Licensed Practical Nurse (License #57926 in TN)

🟢
Initial NPI Registration & Enumeration July 17, 2013

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: 1881035962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2013
Last Update: July 17, 2013
Sole Proprietor: No

Mailing Address

485 Hudson Spring Rd

Dresden, TN 382251717

Phone: 7313645616

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.