Active NPI
Sheri Lynne Tackett, APRN-CNP
- Family Nurse Practitioner
- Tamuning, GU
National Provider Identifier
1477855468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP0130
- 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, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP0130 | GU | MD | Family Nurse Practitioner |
| RE1896 / NP0130 | GU | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Famalaoan Wellness Center | Midwife | Past | 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.
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.