TANISHA DANIELLE PUCKETT
NPI 1225549728
Specialist - Prosthetics Case Management in Clarksville, TN

Q: What is Tanisha Puckett's NPI number?

The NPI number for Tanisha Puckett is 1225549728. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Tanisha Puckett's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Tanisha Puckett was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 24, 2017

913C TINY TOWN RD STE 114, CLARKSVILLE, TN 37042(912) 492-2233 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanisha Danielle Puckett NPPES

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

TANISHA DANIELLE PUCKETT (NPI 1225549728) is an individual prosthetics case management provider in Clarksville, Tennessee and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1225549728

Entity TypeIndividualFemale

Primary Taxonomy1744P3200X

Provider Legal NameTANISHA DANIELLE PUCKETT

Location Address913C TINY TOWN RD STE 114Clarksville, TN 37042-4603

Mailing Address1571 Edgewater LnClarksville, TN 37043-1547 · (912) 492-2233

Phone(912) 492-2233

Sole ProprietorYes

Enumeration DateOctober 24, 2017

✔ NPI 1225549728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

913C TINY TOWN RD STE 114, Clarksville, TN 37042

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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 Tanisha Puckett's NPI number?

The NPI number for Tanisha Puckett is 1225549728. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Tanisha Puckett located?

Tanisha Puckett practices at 913C Tiny Town Rd Ste 114, Clarksville, TN 37042. The listed phone number is (912) 492-2233.

What is Tanisha Puckett's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Tanisha Puckett was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.