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

Paulina Tackett, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1780256719

Paulina Tackett, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Sterling Heights, Michigan. Qualified in 2023, 3 years ago. Practices with Essential Anesthesia Services, PLC, a 17-clinician group. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2021
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

39363 Owendale Dr
Sterling Heights, MI 48310-2569
Phone: (586) 883-2905
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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 4704338150 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704338150 (MI)

Record details

NPI number1780256719
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 9, 2021
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Essential Anesthesia Services, Plc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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