FREDDIE TACKETT
NPI 1487076675
Health Educator in San Diego, CA

Active since January 08, 2014
34800 BOB WILSON DR, BLD 26, SAN DIEGO, CA 92134(619) 532-5792 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Freddie Tackett NPPES

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

FREDDIE TACKETT (NPI 1487076675) is an individual health educator provider in San Diego, California and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1487076675
Entity TypeIndividualMale
Primary Taxonomy174H00000X
Provider Legal NameFREDDIE TACKETT
Location Address34800 BOB WILSON DR, BLD 26San Diego, CA 92134-1098
Mailing Address1206 Via AngelicaVista, CA 92081-6362 · (619) 347-1721
Sole ProprietorNo
Enumeration DateJanuary 8, 2014
NPI 1487076675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
34800 BOB WILSON DR, San Diego, CA 92134

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Freddie Tackett's NPI number?

The NPI number for Freddie Tackett is 1487076675. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Freddie Tackett located?

Freddie Tackett practices at 34800 Bob Wilson Dr Bld 26, San Diego, CA 92134. The listed phone number is (619) 532-5792.

What is Freddie Tackett's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for Freddie Tackett was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.