KETHIA SHANELLE WASHINGTON (NP) – Primary Care Nurse Practitioner, NPI 1376891267

KETHIA SHANELLE WASHINGTON (NP) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Primary Care Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 204948 (GA). The NPI Number for KETHIA SHANELLE WASHINGTON (NP) is 1376891267

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KETHIA SHANELLE WASHINGTON (NP)
NPI
1376891267
Phone
(678) 442-6884
Address
2570 RIVERSIDE PKWY
Enumeration Date
27 August 2012
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6787321507
Graduation Year
2017 (9 years ago)
PAC ID
4688004401
Group Practice PAC ID
8921176231
Professional Enrollment ID
I20200420000337
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for KETHIA SHANELLE WASHINGTON (NP)

  • 2570 RIVERSIDE PKWY

    P. O. BOX 897

    LAWRENCEVILLE, GA 300463339

    Phone: (678) 442-6884

    Fax: (770) 339-4297

    Type: Mailing

  • 10701 EAST BLVD

    CLEVELAND, OH 441061702

    Phone: (216) 791-3800

    Type: Location

  • 985 TAYLOR ST SW

    CONYERS, GA 300125357

    Phone: (770) 785-4345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921176231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerSC
Nurse PractitionerGA
Family Practice, General PracticeGA
Physician AssistantSC
-GA
General Practice, Family PracticeSC
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KETHIA SHANELLE WASHINGTON (NP)?
KETHIA SHANELLE WASHINGTON (NP) — NPI 1376891267 — is the standard way to identify this listing.
Does CMS list KETHIA SHANELLE WASHINGTON (NP) as active?
Yes — KETHIA SHANELLE WASHINGTON (NP) is active in the NPI listing used on this page.
What is KETHIA SHANELLE WASHINGTON (NP)'s primary classification?
Primary Care Nurse Practitioner is the headline specialty for KETHIA SHANELLE WASHINGTON (NP) here. Clinical services aligned with this taxonomy classification.
Does KETHIA SHANELLE WASHINGTON (NP) list a practice location?
Patients near Lawrenceville, Georgia may find KETHIA SHANELLE WASHINGTON (NP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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