Sherry C Tackett, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN052122 Issued in AZ

Practice address

10617 N Hayden Rd
Suite B-102
Scottsdale, AZ 85260-5578

Phone

(480) 483-9011

Fax

(480) 483-9011

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447387139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 E LINCOLN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161143",
            "telephone_number": "602-432-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 N HAYDEN RD",
            "address_2": "SUITE B-102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605578",
            "telephone_number": "480-483-9011",
            "fax_number": "480-483-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "SHERRY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN052122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuong CHI Ta, M.D., PH.D.
• Christina Lynn Taalla
• Mana Tabar
• Sarah Tablak, D.C.
• Charlotte Marie Tack Demott, NP-C
• Elizabeth Taddiken, ND
• Brenda Taege, D.D.S.
• Christine Tafoya, PHARM.D.
• Jacob Robert Tafoya, ATC
• Steven Elias Tager, DPM

• Women's Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.