Kethia Shanelle Washington
NP | Nurse Practitioner | 8+ years Exp
10701 East Blvd, Cleveland
Ohio, 44106-1702
216-791-3800
Kethia Shanelle Washington is a Cleveland, Ohio based nurse practitioner with 8 years of experience in Nurse Practitioner. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kethia Shanelle Washington is RN204948 for Primary Care in Georgia. Her current practice location is 10701 East Blvd, Cleveland. Patients can reach her at 216-791-3800. Kethia Shanelle Washington is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1376891267.
Kethia Shanelle Washington has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kethia Shanelle Washington speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kethia Shanelle Washington |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10701 East Blvd, Cleveland,
Ohio, 44106-1702 |
| Phone: | 216-791-3800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4688004401 |
| Enrollment ID: | I20200420000337 |
| NPI Number: | 1376891267 |
| NPI Enumeration Date: | 27 Aug, 2012 |
| NPI Last Update On: | 12 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kethia Shanelle Washington are as mentioned below.
| License Number | Specialization | State | Status | |
| RN204948 | Primary Care | Georgia | Primary | |
| 204948 | Registered Nurse | Georgia | Secondary | |
| RN204948 | Family | Georgia | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kethia Shanelle Washington is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Piedmont Professional Services, Llc (8921176231) | 65 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kethia Shanelle Washington such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000456486A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kethia Shanelle Washington
10701 East Blvd,
Cleveland, Ohio |
| Zip: | 44106-1702 |
| Phone Number: | 216-791-3800 |
Patients can reach Kethia Shanelle Washington at
10701 East Blvd, Cleveland, Ohio or can
call to book an appointment on 216-791-3800.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.