KRISTI LYNNE TACKETT-NEWBURG PHD LIMHP CPC NPI 1609082189

NPI Information

NPI: 1609082189
Provider Name: KRISTI LYNNE TACKETT-NEWBURG, PHD LIMHP CPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9802 NICHOLAS ST STE 350
OMAHA, NE
ZIP 68114
Phone: (402) 932-2296
Get Directions

Kristi Lynne Tackett-newburg, PHD LIMHP CPC is a professional counselor in Omaha, NE. Kristi Lynne Tackett-newburg, PHD LIMHP CPC NPI is 1609082189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9802 NICHOLAS ST STE 350
OMAHA, NE
ZIP 68114-106
Phone: (402) 932-2296
Fax: (402) 281-0665

The enumeration date for this NPI number is 5/14/2007 and was last updated on 12/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	293	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025043400	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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