MS. SHANA LEE TACKETT
NPI 1902137516
Student in an Organized Health Care Education/Training Program in Parker, AZ

Active since January 21, 2010
12330 AGENCY RD, PARKER INDIAN HEALTH CENTER, PARKER, AZ 85344(928) 669-3130(928) 669-3131 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shana Lee Tackett NPPES

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

MS. SHANA LEE TACKETT (NPI 1902137516) is an individual student in an organized health care education/training program in Parker, Arizona and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1902137516
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. SHANA LEE TACKETT
Location Address12330 AGENCY RD, PARKER INDIAN HEALTH CENTERParker, AZ 85344
Mailing Address12330 Agency Rd, Parker Indian Health ServicesParker, AZ 85344 · (928) 669-3130 · Fax (928) 669-3131
Fax(928) 669-3131
Sole ProprietorNo
Enumeration DateJanuary 21, 2010
NPI 1902137516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12330 AGENCY RD, Parker, AZ 85344

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
12330 AGENCY RD, PARKER INDIAN HEALTH CENTER
PARKER, AZ 85344

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 Shana Tackett's NPI number?

The NPI number for Shana Tackett is 1902137516. It was assigned to this individual provider in the NPPES registry on January 21, 2010.

Where is Shana Tackett located?

Shana Tackett practices at 12330 Agency Rd Parker Indian Health Center, Parker, AZ 85344. The listed phone number is (928) 669-3130.

What is Shana Tackett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shana Tackett was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.