Kayla Shane Tackett
PMHNP-BC, APRN | Nurse Practitioner - Psych/Mental Health
484 Tollage Crk, Pikeville
Kentucky, 41501-3305
606-230-2255
Kayla Shane Tackett is a Pikeville, Kentucky based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Kayla Shane Tackett is 4000516 for Psych/Mental Health in Kentucky. Her current practice location is 484 Tollage Crk, Pikeville. Patients can reach her at 606-230-2255 or can fax her at 606-437-3001. Kayla Shane Tackett is PMHNP-BC, APRN with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1104521657.
Kayla Shane Tackett provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Kayla Shane Tackett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kayla Shane Tackett |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC, APRN |
| Practice Address: | 484 Tollage Crk, Pikeville,
Kentucky, 41501-3305 |
| Phone: | 606-230-2255 |
| Fax: | 606-437-3001 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1104521657 |
| NPI Enumeration Date: | 04 Apr, 2023 |
| NPI Last Update On: | 03 Aug, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kayla Shane Tackett are as mentioned below.
| License Number | Specialization | State | Status | |
| 4000516 | Psych/Mental Health | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kayla Shane Tackett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1104521657 | Medicaid | West Virginia | |
| 7100894480 | Medicaid | Kentucky | |
| 1104521657 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kayla Shane Tackett
484 Tollage Crk,
Pikeville, Kentucky |
| Zip: | 41501-3305 |
| Phone Number: | 606-230-2255 |
| Fax Number: | 606-437-3001 |
Patients can reach Kayla Shane Tackett at
484 Tollage Crk, Pikeville, Kentucky or can
call to book an appointment on 606-230-2255.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.