Individual provider Active NPI

Sheri Lynne Tackett, APRN-CNP

  • Family Nurse Practitioner
  • Tamuning, GU
National Provider Identifier
1477855468
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP0130 Issued in GU
Practice address
744 N Marine Corps Dr Ste 121
Tamuning, GU 96913-4426
Phone
(671) 588-2394
Fax
(671) 647-3494
NPI assigned
Nov 23, 2010
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177 AK
Registered Nurse 163W00000X RE1896 GU
Family Nurse Practitioner 363LF0000X NP0130 GU Primary
Midwife 176B00000X 1177 AK
Midwife 176B00000X NP0130 GU
Critical Care Neonatal Nurse Practitioner 363LN0005X RE1896 / NP0130 GU

Addresses

Primary practice location

744 N Marine Corps Dr Ste 121
Tamuning, GU 96913-4426

Mailing address

744 N Marine Corps Dr Ste 121
Tamuning, GU 96913-4426
Phone (671) 588-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP0130GUMDFamily Nurse Practitioner
RE1896 / NP0130GUMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Oct 6, 2015 Accepting new patients
Famalaoan Wellness Center Midwife PastSince Oct 13, 2024 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1477855468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N MARINE CORPS DR STE 121",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-588-2394",
            "fax_number": "671-647-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N MARINE CORPS DR STE 121",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-588-2394",
            "fax_number": "671-647-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "SHERI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1177",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RE1896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0130",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "1177",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GU",
            "license": "NP0130",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "GU",
            "license": "RE1896 / NP0130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.