Kayla M Tackett, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0027334 Issued in OH

Practice address

8991 Ohio River Rd
Wheelersburg, OH 45694-1923

Phone

(740) 716-7086

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.tackett@somc.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ovp Health Care Inc

  • Family Medicine Physician
  • Proctorville, OH
  • NPI 1518597988
  Medicare reassignment NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227
  Medicare reassignment
• Ovp Health Care Inc

  • Adult Medicine Physician
  • Huntington, WV
  • NPI 1134890833
  NPD
• Ovp Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Ashland, KY
  • NPI 1124899976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1013502798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080327",
            "telephone_number": "304-429-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941923",
            "telephone_number": "740-716-7086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257011614",
            "country_code": "US",
            "telephone_number": "304-429-1088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6276 County Road 107",
            "address_purpose": "LOCATION",
            "city": "Proctorville",
            "state": "OH",
            "postal_code": "456698867",
            "country_code": "US",
            "telephone_number": "740-451-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "936 State Route 160",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456318243",
            "country_code": "US",
            "telephone_number": "740-446-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "117983",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stultz Pharmacy of Wheelersburg Inc
• Stultz Pharmacy of Wheelersburg, Inc
• Katrina Renee Sullivan, LPN
• Angela Tackett, NP
• Gregory Tackett
• Katie Talbert
• Talk Time Speech Therapy LLC
• Avery Taylor
• Dylan Wayne Taylor
• Tech Medical Inc

• Nurse Practitioner in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.