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

Andrea Tackett, APRN

Individual provider Family Nurse Practitioner · NPI 1114648060

Andrea Tackett, APRN is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2021, 5 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3016680 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 301668 (KY)

Record details

NPI number1114648060
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address1 Medical Village Dr, Edgewood, KY 41017-3403

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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