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KETURAH TACKETT
NPI 1003158346
Counselor - Addiction (Substance Use Disorder) in Fallon, NV

Active since March 25, 2013
1490 GRIMES ST, FALLON, NV 89406(775) 423-1412(775) 423-4054 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keturah Tackett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETURAH TACKETT (NPI 1003158346) is an individual addiction (substance use disorder) provider in Fallon, Nevada, licensed in Nevada (00179-C) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1003158346
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKETURAH TACKETT
Location Address1490 GRIMES STFallon, NV 89406-3103
Mailing AddressPo Box 1240Fallon, NV 89407-1240 · (775) 423-1412 · Fax (775) 423-4054
Phone(775) 423-1412
Fax(775) 423-4054
Sole ProprietorNo
Enumeration DateMarch 25, 2013
✔ NPI 1003158346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 00179-C
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1490 GRIMES ST, Fallon, NV 89406
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY MELENDY
Counselor (Addiction (Substance Use Disorder))
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412
CHARLES CRANE
Counselor (Addiction (Substance Use Disorder))
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 753-6962
JANERA TUCKER
Counselor (Addiction (Substance Use Disorder))
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412
ISAAC MARDIS
Rehabilitation Practitioner
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412
MICHELLE MCKNIGHT
Rehabilitation Practitioner
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412
MACIE SHAY ANDERSON CADC-I
Counselor (Addiction (Substance Use Disorder))
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1490
DOROTHY MITCHELL
Rehabilitation Practitioner
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412
JAN HILL
Technician, Other
1490 GRIMES ST
FALLON, NV 89406
Churchill County (775) 423-1412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keturah Tackett's NPI number?

The NPI number for Keturah Tackett is 1003158346. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Keturah Tackett located?

Keturah Tackett practices at 1490 Grimes St, Fallon, NV 89406. The listed phone number is (775) 423-1412.

What is Keturah Tackett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keturah Tackett was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.