IndividualActive
Matthew Tackett
NPI 1124650593 · Case Manager/Care Coordinator · Stillwater, OK
Matthew Tackett is a Case Manager/Care Coordinator provider in Stillwater, OK (NPI 1124650593).
Provider details
- NPI number
- 1124650593
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 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
83% 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
121 S Duck St
Stillwater, OK 74074-3292
Phone: (617) 906-2617
Street-level locationGet directions
Mailing address
2017 Karr Ct
Stillwater, OK 74075-8235
Registry dates
- Enumerated
- 2020-02-04
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Frequently asked questions
- What is Matthew Tackett's NPI number?
- Matthew Tackett's National Provider Identifier (NPI) is 1124650593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Tackett's specialty?
- Matthew Tackett is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Matthew Tackett located?
- Matthew Tackett's practice location on file with NPPES is 121 S Duck St, Stillwater, OK 74074-3292.
- What is Matthew Tackett's phone number?
- The practice phone number listed in the NPPES registry for Matthew Tackett is (617) 906-2617.
- Is Matthew Tackett's NPI active?
- Yes — Matthew Tackett's NPI (1124650593) is active in the NPPES registry as of the last update on 2020-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.