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

Kenneth Lee Tackett, RN, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063099554

Kenneth Lee Tackett, RN, CNP is a Nurse Practitioner in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Texas Behavioral Health PLLC, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4300 Dunlavy St Apt 5118
Houston, TX 77006-5441
Phone: (601) 927-7224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1032032 (TX)

Record details

NPI number1063099554
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CNP
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Texas Behavioral Health Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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