MRS. MACY MARIE TACKETT MSN PMHNP-BC NPI 1871201285

NPI Information

  • NPI: 1871201285
  • Provider Name: MRS. MACY MARIE TACKETT, MSN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3094 W MARKET ST STE 360
    FAIRLAWN, OH
    ZIP 44333
  • Phone: (614) 987-8847

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NPI Details

MRS. Macy Marie Tackett, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fairlawn, OH with 2 years of experience. MRS. Macy Marie Tackett, MSN, PMHNP-BC NPI is 1871201285. 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:

3094 W MARKET ST STE 360
FAIRLAWN, OH
ZIP 44333-618
Phone: (614) 987-8847

The NPI 1871201285 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 11/14/2022 and was last updated on 11/18/2023.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)RN.453033OHIONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0035112OHIOYes

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: 3/30/2025

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