DR. MEREDITH JAN TACKETT (NPI# 1831207943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831207943 |
| Entity Type | Individual |
| Full Name | DR. MEREDITH JAN TACKETT |
| Credential | PHD |
| Practice Address |
1660 S Columbian Way # 128 Vapshcs Spinal Cord Injury Service Seattle WA 98108-1532 |
| Practice Telephone | 2067642823 |
| Practice Fax Number | 2067642799 |
| Mailing Telephone | 2067642823 |
| Mailing Fax Number | 2067642799 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PY00002403 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1660 S COLUMBIAN WAY # 128 VAPSHCS SPINAL CORD INJURY SERVICE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245308 | Amy Jo Starosta | Psychologist | 325 9th Ave, Seattle, WA 98104-2420 | 2017-06-20 |
| 1689094294 | Michelle C. Accardi-ravid | Psychologist | 325 9th Ave, Seattle, WA 98104-2420 | 2014-04-22 |
| 1962655399 | Elizabeth Kunchandy | Psychologist | 1660 S Columbian Way, Rehabilitation Care Service, S-117-rcs Va Puget Sound, Seattle, WA 98108-1532 | 2008-10-29 |
| 1063521847 | Randi Lincoln | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801130976 | Washington State Psychological Services, LLC | Psychologist | 5105 200th St Sw Ste 100, Lynnwood, WA 98036-6397 | 2012-11-15 |
| 1841804333 | David Henry | Psychologist | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-02 |
| 1508238924 | Rebecca Stafford | Psychologist | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2015-10-25 |
| 1881685683 | Joy Rebecca White Martinez | Psychologist | 711 S Cowley St, Spokane, WA 99202-1330 | 2005-10-31 |
Please comment or provide details below to improve the information on DR. MEREDITH JAN TACKETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.