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

Tammy Tackett

Individual provider Community Health Worker · NPI 1417630708

Tammy Tackett is a Community Health Worker in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1417630708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address125 S Main Cross St, Louisa, KY 41230-1065

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