Dawn Marshelle Tackett

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2585 Dakota Blvd Apt 211
Dickinson, ND 58601-2598

Phone

(701) 820-0120

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1669070686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 3RD AVE E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014412",
            "telephone_number": "701-820-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 DAKOTA BLVD APT 211",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012598",
            "telephone_number": "701-820-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "DAWN",
        "middle_name": "MARSHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Sveinson
• Karen Ingrid Swanson, NP-C
• Rudie Swanson
• Sheldon Swenson, MD
• Kacey Sykora, OTR/L
• Kayla Tardif
• Alfahnique C Teigen, PMHNP-BC
• Thomas R Templeton, MD
• Tess R Johnson, PLLC
• Chelsea Theiler

• All providers in Dickinson, ND
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.