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Ellis Tackett, ATC LAT
NPI 1821489576 · Specialist · Pikeville, KY
Ellis Tackett, ATC LAT is a Specialist provider in Pikeville, KY (NPI 1821489576).
Provider details
- NPI number
- 1821489576
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- ATC LAT
- Sex
- Male
- Sole proprietor
- No
- License
- AT1092 (KY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
147 Sycamore St
Pikeville, KY 41501-9118
Phone: (606) 213-1620
Fax: (606) 218-5353
Street-level locationGet directions
Mailing address
680 Hambley Blvd Apt 407
Pikeville, KY 41501-3804
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2015-02-16
Frequently asked questions
- What is Ellis Tackett's NPI number?
- Ellis Tackett's National Provider Identifier (NPI) is 1821489576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellis Tackett's specialty?
- Ellis Tackett is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Ellis Tackett located?
- Ellis Tackett's practice location on file with NPPES is 147 Sycamore St, Pikeville, KY 41501-9118.
- What is Ellis Tackett's phone number?
- The practice phone number listed in the NPPES registry for Ellis Tackett is (606) 213-1620.
- Is Ellis Tackett's NPI active?
- Yes — Ellis Tackett's NPI (1821489576) is active in the NPPES registry as of the last update on 2015-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.