Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brittany Leigh Tackett, CRNA

Individual provider Registered Nurse · NPI 1306404462

Brittany Leigh Tackett, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2019, 7 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

333 Laidley St
Charleston, WV 25301-1628
Phone: (304) 344-0096
Fax: (304) 342-4725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 123132 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 85975 (WV)

Record details

NPI number1306404462
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ths Physician Partners Inc — 359 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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