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CHADWICK TREI TACKETT MSN, FNP
NPI 1760945729
Nurse Practitioner - Family in Lexington, KY

Active since April 08, 2019
230 W MAIN ST, LEXINGTON, KY 40507(859) 309-4839 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Apr 8, 2019 (2 updates tracked since 2019).

About Chadwick Trei Tackett Msn, Fnp NPPES

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

CHADWICK TREI TACKETT MSN, FNP (NPI 1760945729) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3013650) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1760945729
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHADWICK TREI TACKETTCredential: MSN, FNP
Location Address230 W MAIN STLexington, KY 40507-1340
Mailing Address728 Fitzroy LnLexington, KY 40515-6354 · (606) 255-7466
Phone(859) 309-4839
Sole ProprietorNo
Enumeration DateApril 8, 2019
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1760945729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3013650
Also ListedRegistered NurseTaxonomy 163W00000X · License 1135877 (KY)
230 W MAIN ST, Lexington, KY 40507
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW STEWART DAWSON M.D.
Family Medicine
230 W MAIN ST
LEXINGTON, KY 40507
Fayette County (859) 309-4839
WILD HEALTH AT PROOF LLC
Family Medicine
230 W MAIN ST
LEXINGTON, KY 40507
Fayette County (859) 309-4839

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 Chadwick Tackett's NPI number?

The NPI number for Chadwick Tackett is 1760945729. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Chadwick Tackett located?

Chadwick Tackett practices at 230 W Main St, Lexington, KY 40507. The listed phone number is (859) 309-4839.

What is Chadwick Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Chadwick Tackett was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.