Maria Tackett, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4022810 Issued in KY

Practice address

214 Beriah Blvd
Salyersville, KY 41465-7509

Phone

(606) 349-5126

Fax

(606) 349-5123

NPI assigned

Jun 10, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Sandy Health Care, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Big Sandy Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
  • NPI 1922594506
  Medicare reassignment NPD
• Big Sandy Health Care, Inc

  dba Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1104055805
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD
• Big Sandy Health Care Inc

  dba Physicians for Women

  • Federally Qualified Health Center (FQHC)
  • Auxier, KY
  • NPI 1588606370
  NPD
• Big Sandy Health Care Inc

  dba Eula Hall Health Center

  • Federally Qualified Health Center (FQHC)
  • Grethel, KY
  • NPI 1154367191
  NPD (past)
• Big Sandy Health Care Inc

  dba Hope Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
  • NPI 1326080110
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1215779368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BERIAH BLVD",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414657509",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Auxier",
            "state": "KY",
            "postal_code": "416029259",
            "country_code": "US",
            "telephone_number": "606-886-8997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7629 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Grethel",
            "state": "KY",
            "postal_code": "416316304",
            "country_code": "US",
            "telephone_number": "606-587-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Hwy 645",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "41224",
            "country_code": "US",
            "telephone_number": "606-298-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Douglas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016970",
            "country_code": "US",
            "telephone_number": "606-639-3135",
            "fax_number": "606-639-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401220",
            "country_code": "US",
            "telephone_number": "606-887-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Harold",
            "state": "KY",
            "postal_code": "416359046",
            "country_code": "US",
            "telephone_number": "606-478-2200",
            "fax_number": "866-310-9947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Freeburn",
            "state": "KY",
            "postal_code": "415288718",
            "country_code": "US",
            "telephone_number": "606-984-5484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Weddington Branch Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013296",
            "country_code": "US",
            "telephone_number": "606-637-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414659251",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "452 Tom Frazier Way",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414657704",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "452 Tom Frazier Way",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414657704",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4022810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gay Slone, LPCC
• Zacharry F Slone, DC
• Brian Sperger, MS., RD., LD.
• David Franklin Strahley, PH.D
• Jessica Renee Tackett, NP-C
• Tranquility Care LLC
• Amanda Walden, RBT
• Walgreen Co (Walgreens #19545)
• Alicia Montgomery Ward, PHARMD
• Michele Watkins, LPCC

• Family Nurse Practitioner in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.