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Keturah Tackett

Rehabilitation Practitioner Addiction Counselor (Substance Use Disorder)

1490 Grimes St
Fallon , Nevada 89406-3103

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Rehabilitation Practitioner

Languages spoken

  • English

Location

1490 Grimes St Fallon , Nevada 89406-3103

First Address

  • Keturah Tackett
  • Po Box 1240
  • Fallon, NV
  • Zip : 89407-1240
  • Fax : (775) 423-4054
  • Phone : (775) 423-1412

Second Address

  • Keturah Tackett
  • 1490 Grimes St
  • Fallon, NV
  • Zip : 89406-3103
  • Fax : (775) 423-4054
  • Phone : (775) 423-1412

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FAQs


Where did Keturah Tackett attend graduate school?

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Where did Keturah Tackett do her residency?

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Where did Keturah Tackett do her fellowship?

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Is Keturah Tackett board certified?

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What type of doctor is Keturah Tackett

Addiction Counselor (Substance Use Disorder)

In what state does Keturah Tackett practice in?

Nevada

Where is Keturah Tackett ’s practice located?

1490 Grimes St , Fallon, Nevada, 89406-3103

What is Keturah Tackett ’s gender?

Female

Is Keturah Tackett a sole practitioner?

No

Is Keturah Tackett accepting new patients?

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What languages does Keturah Tackett speak?

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Does Keturah Tackett accept insurance?

Yes, Keturah Tackett accepts insurance

Does Keturah Tackett offers telemedicine?

Keturah Tackett has not indicated if she offers telemedicine

What is Keturah Tackett ’s professional license number?

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What is Keturah Tackett ’s NPI number?

1003158346

Does Keturah Tackett have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder) 00179-C NV
N 225400000X Rehabilitation Practitioner

National Provider Identifier

NPI 1003158346
Provider Name Keturah Tackett
First Address Fallon, NV 89407-1240
Second Address Fallon, NV 89406-3103
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/03/2013
Last Update Date 25/03/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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