SHERI LYNNE TACKETT APRN-CNP NPI 1477855468

NPI Information

NPI: 1477855468
Provider Name: SHERI LYNNE TACKETT, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
133 ROUTE 3
DEDEDO, GU
ZIP 96929
Phone: (671) 645-5500
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Sheri Lynne Tackett, APRN-CNP is a family nurse practitioner in Dededo, GU. Sheri Lynne Tackett, APRN-CNP NPI is 1477855468. 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:

133 ROUTE 3
DEDEDO, GU
ZIP 96929
Phone: (671) 645-5500

The NPI 1477855468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 11/8/2018.

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	163W00000X	Registered Nurse		RE1896	GUAM	No
2	176B00000X	Midwife		1177	ALASKA	No
3	176B00000X	Midwife		NP0130	GUAM	No
4	363LF0000X	Nurse Practitioner	Family	1177	ALASKA	No
5	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	RE1896 / NP0130	GUAM	No
6	363LF0000X	Nurse Practitioner	Family	NP0130	GUAM	Yes

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: 4/28/2024

NPI Synchronization or Removal

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