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

Cathy Sue Tackett, APRN

Individual provider Family Nurse Practitioner · NPI 1912130048

Cathy Sue Tackett, APRN is a Nurse Practitioner in South Shore, Kentucky. Qualified in 2009, 17 years ago. Practices with Lewis County Primary Care Center, Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
17
Licensed in
KY, OH
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

142 Depot Dr
South Shore, KY 41175
Phone: (606) 932-2271
Fax: (606) 932-2273
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3007355 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1083-NP (OH)

Record details

NPI number1912130048
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESMarch 22, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lewis County Primary Care Center, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Shore