IndividualActive
Katie Tackett
NPI 1053966168 · Peer Specialist · Dayton, OH
Katie Tackett is a Peer Specialist provider in Dayton, OH (NPI 1053966168).
Provider details
- NPI number
- 1053966168
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- FPS.00417 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
526 Xenia Ave
Dayton, OH 45410-1824
Phone: (937) 949-1524
Street-level locationGet directions
Mailing address
3400 Idylwilde Blvd
Dayton, OH 45414-5514
Registry dates
- Enumerated
- 2019-08-06
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Katie Tackett's NPI number?
- Katie Tackett's National Provider Identifier (NPI) is 1053966168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katie Tackett's specialty?
- Katie Tackett is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Katie Tackett located?
- Katie Tackett's practice location on file with NPPES is 526 Xenia Ave, Dayton, OH 45410-1824.
- What is Katie Tackett's phone number?
- The practice phone number listed in the NPPES registry for Katie Tackett is (937) 949-1524.
- Is Katie Tackett's NPI active?
- Yes — Katie Tackett's NPI (1053966168) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.