Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEGAN TACKETT
NPI 1619873072
Physician Assistant - Medical in St Petersburg, FL

Q: What is Megan Tackett's NPI number?

The NPI number for Megan Tackett is 1619873072. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Q: What is Megan Tackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Megan Tackett was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 14, 2026

201 17TH ST S APT 1122, ST PETERSBURG, FL 33712(606) 269-5633 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Megan Tackett NPPES

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

MEGAN TACKETT (NPI 1619873072) is an individual medical provider in St Petersburg, Florida and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1619873072

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMEGAN TACKETT

Location Address201 17TH ST S APT 1122St Petersburg, FL 33712-1741

Mailing Address201 17th St SSt Petersburg, FL 33712-1710

Phone(606) 269-5633

Sole ProprietorNo

Enumeration DateOctober 14, 2026

NPPES CertifiedOctober 14, 2026

✔ NPI 1619873072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

201 17TH ST S APT 1122, St Petersburg, FL 33712

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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 Megan Tackett's NPI number?

The NPI number for Megan Tackett is 1619873072. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Megan Tackett located?

Megan Tackett practices at 201 17th St S Apt 1122, St Petersburg, FL 33712. The listed phone number is (606) 269-5633.

What is Megan Tackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Megan Tackett was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.