ROBERTA TACKETT (APRN, RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710104716

ROBERTA TACKETT (APRN, RN) is a healthcare provider. based in Corbin, Kentucky. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN, RN. They hold a License No. 3002865 (KY). The NPI Number for ROBERTA TACKETT (APRN, RN) is 1710104716

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA TACKETT (APRN, RN)
NPI
1710104716
Phone
Not provided
Address
PO BOX 568
Enumeration Date
19 April 2007
Last Update Date
29 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6068626550
Graduation Year
1997 (29 years ago)
PAC ID
5395878466
Group Practice PAC ID
5395655583
Professional Enrollment ID
I20100727000701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ROBERTA TACKETT (APRN, RN)

  • PO BOX 568

    CORBIN, KY 407020568

    Phone:

    Type: Mailing

  • 1203 AMERICAN GREETING RD

    CORBIN, KY 407014811

    Phone: (606) 528-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395655583View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Mental Health CounselorKY
-KY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is there an official ID for ROBERTA TACKETT (APRN, RN) in U.S. healthcare records?
The official identifier for ROBERTA TACKETT (APRN, RN) is NPI 1710104716.
Active or inactive — what applies to ROBERTA TACKETT (APRN, RN)?
You should see ROBERTA TACKETT (APRN, RN) as active in CMS-hosted NPPES data.
What expertise is attributed to ROBERTA TACKETT (APRN, RN)?
ROBERTA TACKETT (APRN, RN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is ROBERTA TACKETT (APRN, RN) registered?
Use Corbin, Kentucky as the headline location for ROBERTA TACKETT (APRN, RN) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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