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HEATHER TACK NP
NPI 1023301595
Nurse Practitioner in Northville, MI

Active since May 17, 2011
15474 HAGGERTY RD, NORTHVILLE, MI 48170(248) 615-0889(734) 404-5317 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Tack Np NPPES

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

HEATHER TACK NP (NPI 1023301595) is an individual nurse practitioner in Northville, Michigan, licensed in Michigan (4704222690) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1023301595
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER TACKCredential: NP
Location Address15474 HAGGERTY RDNorthville, MI 48170-0844
Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0844 · (888) 220-6432 · Fax (630) 734-4715
Phone(248) 615-0889
Fax(734) 404-5317
Sole ProprietorYes
Enumeration DateMay 17, 2011
Last NPPES UpdateApril 19, 2013
✔ NPI 1023301595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704222690
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15474 HAGGERTY RD, Northville, MI 48170
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Other Identifiers 1

Medicare PINMI5695012MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Other Providers at the Same Location NPPES 5

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

LIBBY YU NP
Nurse Practitioner
15474 HAGGERTY RD
NORTHVILLE, MI 48170
Wayne County (248) 615-0889
KATHLEEN JAHODA PA-C
Physician Assistant (Medical)
15474 HAGGERTY RD
NORTHVILLE, MI 48170
Wayne County (734) 355-6103
DR. KALYANI T. MOVVA M.D.
Specialist
15474 HAGGERTY RD
NORTHVILLE, MI 48170
Wayne County (248) 615-0889
GRETCHEN MARIE JAKUBIAK NP
Nurse Practitioner
15474 HAGGERTY RD
NORTHVILLE, MI 48170
Wayne County (734) 335-6103
DR. COLLEEN S WESTON D.O.
Internal Medicine (Infectious Disease)
15474 HAGGERTY RD
NORTHVILLE, MI 48170
Wayne County (248) 615-0889

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 Heather Tack's NPI number?

The NPI number for Heather Tack is 1023301595. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Heather Tack located?

Heather Tack practices at 15474 Haggerty Rd, Northville, MI 48170. The listed phone number is (248) 615-0889.

What is Heather Tack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Heather Tack accept?

Health plans from Priority Health list Heather Tack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Tack was last updated on April 19, 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.