Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Andrea Hardison Tackett, MD, FACC

Cardiovascular Disease Physician in San Luis Obispo, CA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215138789

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Registry record

Entity type Individual (Type 1)

Name Andrea Hardison Tackett

Credential MD, FACC

Sex Female

Practice address 1941 Johnson Ave, Ste 101, San Luis Obispo, CA, 93401

Phone (805) 782-8844

Fax (805) 782-8859

Enumeration date May 30, 2007

Last updated in NPPES Jun 25, 2021

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License A116056 (CA) Primary

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians · License A116056 (CA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
ZZZ28458Z	Other	CA	BLUE SHIELD
P00971250	Other	CA	RR MEDICARE
GR000068680	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Andrea Tackett practice?

The practice location on file with NPPES is in San Luis Obispo, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Andrea Tackett?

The National Provider Identifier (NPI) for Andrea Tackett is 1215138789, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-25.