Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alivia Raye Tackett, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124797113

Alivia Raye Tackett, APRN is a Psychiatric/Mental Health Nurse Practitioner in Portsmouth, Ohio. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

915 10th St
Portsmouth, OH 45662-4152
Phone: (740) 354-0700
Fax: (740) 876-8691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0030114 (KY)

Record details

NPI number1124797113
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address915 10th St, Portsmouth, OH 45662-4152

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