Search › West Virginia › 363LF0000X
Tara Tackett, APRN-CNP
NPI 1235585027 · on the registry since 2016
Practice
- Address
- 400 Court St Ste 100
Charleston, WV 25301 - Phone
- (304) 347-6120
- Fax
- (304) 347-6142
- Organisation at this address
- R.Todd Depond, Md, Pllc
Bali Surgical Practice Pllc
Bee Healthy Pediatrics Pllc
Center For Pain Relief, Inc.
Physical Medicine & Rehabilitation Associates Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 1206 Hospital Dr, Hurricane, WV
- 3200 Maccorkle Ave Se, 4th Fl, Charleston, WV
- 701 Madison Ave, Madison, WV
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363L00000X - Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia