Kethia Shanelle Washington is a Conyers, Georgia based nurse practitioner with 7 years of experience in . 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 Family in Georgia. Her current practice location is 985 Taylor St Sw, Conyers. Patients can reach her at 770-785-4345. Kethia Shanelle Washington is NP 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.
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 Dec, 2019
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
Family
Georgia
Primary
204948
Registered Nurse
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 2570 Riverside Pkwy, P. O. Box 897 Lawrenceville, Georgia
Zip:
30046-3339
Phone Number:
678-442-6884
Fax Number:
770-339-4297
Patients can reach Kethia Shanelle Washington at 985 Taylor St Sw, Conyers, Georgia or can call to book an appointment on 770-785-4345.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.