Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALIVIA RAYE TACKETT APRN
NPI 1124797113
Nurse Practitioner - Psychiatric/Mental Health in Portsmouth, OH

Q: What is Alivia Tackett's NPI number?

The NPI number for Alivia Tackett is 1124797113. It was assigned to this individual provider in the NPPES registry on September 13, 2021. The provider is also known as Alivia Parker.

Q: What is Alivia Tackett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alivia Tackett was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since September 13, 2021

915 10TH ST, PORTSMOUTH, OH 45662(740) 354-0700(740) 876-8691 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alivia Raye Tackett Aprn NPPES

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

ALIVIA RAYE TACKETT APRN (NPI 1124797113) is an individual psychiatric/mental health provider in Portsmouth, Ohio, licensed in Kentucky (APRN.CNP.0030114) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1124797113

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALIVIA RAYE TACKETTCredential: APRN

Location Address915 10TH STPortsmouth, OH 45662-4152

Mailing Address915 10th StPortsmouth, OH 45662-4152 · (743) 546-6685 · Fax (740) 876-8691

Phone(740) 354-0700

Fax(740) 876-8691

Sole ProprietorNo

Enumeration DateSeptember 13, 2021

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1124797113 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 · APRN.CNP.0030114

915 10TH ST, Portsmouth, OH 45662

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Other Names 1

Former Name (1)Alivia Parker

Other Providers at the Same Location NPPES

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

SKPR OH 1 LLC

Clinic/Center (Oncology, Radiation)

915 10TH ST
PORTSMOUTH, OH 45662

Scioto County (937) 386-0000

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 Alivia Tackett's NPI number?

The NPI number for Alivia Tackett is 1124797113. It was assigned to this individual provider in the NPPES registry on September 13, 2021. The provider is also known as Alivia Parker.

Where is Alivia Tackett located?

Alivia Tackett practices at 915 10th St, Portsmouth, OH 45662. The listed phone number is (740) 354-0700.

What is Alivia Tackett's specialty?

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

When was this NPI record last updated?

The NPPES record for Alivia Tackett was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.