ROBERTA TACKETT APRN, RN
NPI 1710104716
Nurse Practitioner - Psychiatric/Mental Health in Corbin, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since April 19, 2007

1203 AMERICAN GREETING RD, CORBIN, KY 40701(606) 528-7010 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Roberta Tackett Aprn, Rn NPPES

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

ROBERTA TACKETT APRN, RN (NPI 1710104716) is an individual psychiatric/mental health provider in Corbin, Kentucky, licensed in Kentucky (3002865) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1710104716

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameROBERTA TACKETTCredential: APRN, RN

Location Address1203 AMERICAN GREETING RDCorbin, KY 40701-4811

Mailing AddressPo Box 568Corbin, KY 40702-0568

Phone(606) 528-7010

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateMarch 29, 2011

✔ NPI 1710104716 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 · 3002865

1203 AMERICAN GREETING RD, Corbin, KY 40701

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Other Identifiers 9

Medicare UPIN0001375KY

Medicare UPIN0295609KY

Medicare UPIN0354112KY

Medicare UPIN0354506KY

Medicare UPIN0354908KY

Medicare UPIN0753803KY

Medicare UPIN0354317KY

Medicare UPIN0355709KY

Medicare UPIN0354807KY

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.

JODI LEFEVERS-CARROLL LCSW

Social Worker (Clinical)