Reva Duff Tackett, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

20064 Issued in KY

Practice address

1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489

Phone

(859) 264-8811

Fax

(859) 264-8822

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Kentucky College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reva.tackett@axia.eclinicaldirectplus.com

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.

• Seven Hills OB-GYN Associates LLC

  • Obstetrics & Gynecology Physician
  • Lexington, KY
  • NPI 1609856525
  Medicare reassignment Care Compare group
• Women'S Care Center PLLC

  • Obstetrics & Gynecology Physician
  • Lexington, KY
  • NPI 1962416792
  NPD
• Obstetrics & Gynecology of Indiana, LLC

  • Obstetrics & Gynecology Physician
  • Carmel, IN
  • NPI 1942290143
  NPD (past)

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation
• Saint Joseph Health System Inc

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1215916044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD STE 702",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031489",
            "telephone_number": "859-264-8811",
            "fax_number": "859-264-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD STE 702",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031489",
            "telephone_number": "859-264-8811",
            "fax_number": "859-264-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "REVA",
        "middle_name": "DUFF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "20064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220643",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jim R Tackett, PA-C
• Kayce Ann Tackett, MD
• Kimberly Dawn Tackett, LMT
• Madison Bailey Tackett, MD
• Madison Steffi Tackett, DO
• Stephanie R Tackett
• Steven Wesley Tackett
• Whitney Jo Tackett, P.A.
• Tadarro L. Richardson M.D. P.S.C.
• Darcy Taddeo, PA-C

• Gynecology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.