Active NPI
Nicole R Tackett, RN
- Registered Nurse
- Ottawa, OH
National Provider Identifier
1245038728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.378346
- Practice address
- 835 N Locust St
Ottawa, OH 45875-1216 - Phone
- (419) 523-4300
- Fax
- (419) 523-6188
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.378346 | OH | Primary |
Addresses
Primary practice location
835 N Locust St
Ottawa, OH 45875-1216
Mailing address
204 Mound St
Findlay, OH 45840-3050
Phone (567) 674-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.378346 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1245038728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MOUND ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458403050",
"telephone_number": "567-674-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 N LOCUST ST",
"city": "OTTAWA",
"state": "OH",
"postal_code": "458751216",
"telephone_number": "419-523-4300",
"fax_number": "419-523-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACKETT",
"first_name": "NICOLE",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.378346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.