Katherine Marie Tackett, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0028407 Issued in OH

Practice address

2135 Dana Ave Ste 410
Cincinnati, OH 45207-1327

Phone

(513) 861-0222

Fax

(513) 861-5845

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cincinnati Allergy and Asthma Center IncGroup PAC ID 4789617382, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cincinnati Children'S Hospital Medical Center Hospital, Cincinnati, OH, CCN 363300

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cincinnati Allergy & Asthma Center Inc

  • Allergy & Immunology Physician
  • Cincinnati, OH
  • NPI 1306913959
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Children'S Hospital Medical Center

  • Children's Hospital
  • Cincinnati, OH
  • NPI 1548212988
  Care Compare affiliation

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1821682741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 STATE RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452556408",
            "telephone_number": "513-861-0222",
            "fax_number": "513-231-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE STE 410",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071327",
            "telephone_number": "513-861-0222",
            "fax_number": "513-861-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7527 State Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452556408",
            "country_code": "US",
            "telephone_number": "513-861-0222 x2",
            "fax_number": "513-231-0223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9313 S Mason Montgomery Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450408009",
            "country_code": "US",
            "telephone_number": "513-861-0222 x3",
            "fax_number": "513-573-7053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028407",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH",
            "identifier": "0028407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jake Tabler
• Zacary Tabler
• Tabono Center for Wellbeing Inc
• Estelle Sonya Tachago Kamdom, DDS
• Ashley Tackett
• Nathan Andrew Tackett, CAA
• Ryan David Tackla, M.D
• Tactical Physical Therapy and Performance, LLC
• Gayathri D Tadepalli, MD
• Lauren Tadevich

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.