Individual provider Active NPI

Andrea Hardison Tackett, MD, FACC

  • Cardiovascular Disease Physician
  • Solvang, CA
National Provider Identifier
1215138789
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A116056 Issued in CA
Practice address
2030 Viborg Rd Ste 205
Solvang, CA 93463-3226
Phone
(805) 324-9707
Fax
(805) 749-2907
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X A116056 CA
Cardiovascular Disease Physician 207RC0000X A116056 CA Primary

Addresses

Primary practice location

2030 Viborg Rd Ste 205
Solvang, CA 93463-3226

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689
Phone (805) 324-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110720000270 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9931377827 Reassigns benefits to 1 organization
I20220816001024 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931377827 Reassigns benefits to 4 organizations
I20220819002057 AK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931377827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Medical FoundationGroup PAC ID 0547600512, 83 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2030 Viborg Rd
Suite 205
Solvang, CA 93463-3226
Phone (805) 324-9707

2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1813
Phone (360) 756-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A116056CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Cottage Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Peacehealth CurrentSince Oct 18, 2023 Accepting new patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Cottage Clinical Associates Cardiovascular Disease PastSince Feb 1, 2023 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

221 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 324-9707

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

2030 Viborg Rd
Ste 205
Solvang, CA 93463
Phone (805) 324-9707

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 788-6934

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: atackett565993@direct.peacehealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1215138789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931020689",
            "telephone_number": "805-324-9707",
            "fax_number": "805-749-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 VIBORG RD STE 205",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633226",
            "telephone_number": "805-324-9707",
            "fax_number": "805-749-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "ANDREA",
        "middle_name": "HARDISON",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A116056",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A116056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.