Active NPI
Helen Tackitt, NP
- Nurse Practitioner
- Mebane, NC
National Provider Identifier
1669553939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 226622
- Practice address
- 302 W Graham St
Mebane, NC 27302-2312 - Phone
- (919) 568-0004
- NPI assigned
- Oct 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN.430379 | OH | |
| Nurse Practitioner | 363L00000X | 226622 | NC | Primary |
Addresses
Primary practice location
302 W Graham St
Mebane, NC 27302-2312
Mailing address
302 W Graham St
Mebane, NC 27302-2312
Phone (919) 568-0004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2593350 | Other | MEDICARE | |
| 7004396 | Medicaid | NC |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226622 | NC | MD | Nurse Practitioner |
| RN.430379 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- helen.tackitt@383208524152836.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1669553939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W GRAHAM ST",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022312",
"telephone_number": "919-568-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W GRAHAM ST",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022312",
"telephone_number": "919-568-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACKITT",
"first_name": "HELEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "RN.430379",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "226622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2593350",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004396",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.