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

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: August 30, 2026.

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
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

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.

Registered Nurse (Psychiatric/Mental Health)
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Case Manager/Care Coordinator
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Developmental Therapist
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Case Manager/Care Coordinator
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Case Manager/Care Coordinator
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Case Manager/Care Coordinator
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Psychologist (Clinical)
1203 AMERICAN GREETING RD
CORBIN, KY 40701
Counselor (Mental Health)
1203 AMERICAN GREETING RD
CORBIN, KY 40701

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 Roberta Tackett's NPI number?

The NPI number for Roberta Tackett is 1710104716. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Roberta Tackett located?

Roberta Tackett practices at 1203 American Greeting Rd, Corbin, KY 40701. The listed phone number is (606) 528-7010.

What is Roberta 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 Roberta Tackett was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.