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KAYLA SHANE TACKETT PMHNP-BC, APRN
NPI 1104521657
Nurse Practitioner - Psychiatric/Mental Health in Pikeville, KY

Active since April 04, 2023
484 TOLLAGE CRK, PIKEVILLE, KY 41501(606) 230-2255(606) 437-3001 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayla Shane Tackett Pmhnp-bc, Aprn NPPES

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

KAYLA SHANE TACKETT PMHNP-BC, APRN (NPI 1104521657) is an individual psychiatric/mental health provider in Pikeville, Kentucky, licensed in Kentucky (4000516) and active in the NPI registry since April 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104521657
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAYLA SHANE TACKETTCredential: PMHNP-BC, APRN
Location Address484 TOLLAGE CRKPikeville, KY 41501-3305
Mailing Address484 Tollage CrkPikeville, KY 41501-3305 · (606) 230-2255 · Fax (606) 437-3001
Phone(606) 230-2255
Fax(606) 437-3001
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1104521657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4000516
484 TOLLAGE CRK, Pikeville, KY 41501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1140 Adams Ln Ste 300Pikeville, KY 41501-3088 · Phone (606) 230-2255 · Fax (606) 437-3001
Location 22643 King Kelly Coleman HwyWayland, KY 41666 · Phone (606) 531-4040 · Fax (606) 284-2039

Other Identifiers 3

Medicaid1104521657WV
Medicaid7100894480KY
Medicaid1104521657VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 16

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

CARE OF KY
Clinical Medical Laboratory
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 637-7748
KRISTI HALL APRN
Nurse Practitioner (Family)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
LAUREN ANN THACKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
DAVID SAMMONS II APRN
Nurse Practitioner (Family)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
TELISHA NICHOLE PRATER APRN
Nurse Practitioner (Family)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
ALISHA BOLEN APRN
Nurse Practitioner (Family)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
DR. LESLEY KYLE BOW MD
Pediatrics
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255
COMPASSION SERVICES
Clinic/Center (Rural Health)
484 TOLLAGE CRK
PIKEVILLE, KY 41501
Pike County (606) 230-2255

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 Kayla Tackett's NPI number?

The NPI number for Kayla Tackett is 1104521657. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Kayla Tackett located?

Kayla Tackett practices at 484 Tollage Crk, Pikeville, KY 41501. The listed phone number is (606) 230-2255.

What is Kayla Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kayla Tackett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kayla Tackett 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 Kayla Tackett was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.