Megan Rachelle Tackett, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012109 Issued in KY

Practice address

7629 Ky Route 979
Grethel, KY 41631

Phone

(606) 587-2200

NPI assigned

Feb 27, 2018

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trackett.megan.004.0170011@bshc.meditab.direct-ci.com
• Direct secure messaging: trackett.megan.002.0170011@bshc.meditab.direct-ci.com
• Direct secure messaging: trackett.megan.006.0170011@bshc.meditab.direct-ci.com
• Direct secure messaging: trackett.megan.003.0170011@bshc.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big Sandy Health Care, Inc

  dba Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1104055805
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Eula Hall Health Center

  • Federally Qualified Health Center (FQHC)
  • Grethel, KY
  • NPI 1154367191
  NPD
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD
• Big Sandy Health Care Inc

  dba Physicians for Women

  • Federally Qualified Health Center (FQHC)
  • Auxier, KY
  • NPI 1588606370
  NPD
• Big Sandy Health Care Inc

  dba Shelby Valley Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1700828597
  NPD
• Big Sandy Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
  • NPI 1922594506
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1720589559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 KY ROUTE 979",
            "city": "GRETHEL",
            "state": "KY",
            "postal_code": "41631",
            "telephone_number": "606-587-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Auxier",
            "state": "KY",
            "postal_code": "416029259",
            "country_code": "US",
            "telephone_number": "606-886-8997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Harold",
            "state": "KY",
            "postal_code": "416359046",
            "country_code": "US",
            "telephone_number": "606-487-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Douglas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016970",
            "country_code": "US",
            "telephone_number": "606-639-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401220",
            "country_code": "US",
            "telephone_number": "606-887-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Weddington Branch Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013296",
            "country_code": "US",
            "telephone_number": "606-637-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Freeburn",
            "state": "KY",
            "postal_code": "415288718",
            "country_code": "US",
            "telephone_number": "606-984-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "MEGAN",
        "middle_name": "RACHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Newsome
• Teresa Newsome, IECE
• Teresa Obrien-Conley, LCSW CADC
• Stephanie D Scott, PHARMACIST
• Shana Slone, LCSW
• Tiny Steps LLC
• Heather Whitt Spradlin, DMD

• Family Nurse Practitioner in Grethel, KY
• Providers in Grethel, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.

Verify at the official NPI Registry.