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KETTIA MATHURIN FNP
NPI 1366963175
Nurse Practitioner in Atlanta, GA

Active since June 30, 2017
5667 PEACHTREE DUNWOODY RD STE 260, ATLANTA, GA 30342(404) 255-1030(678) 843-6619 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Jun 30, 2017 (2 updates tracked since 2017).

About Kettia Mathurin Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTIA MATHURIN FNP (NPI 1366963175) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN195570) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1366963175
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKETTIA MATHURINCredential: FNP
Location Address5667 PEACHTREE DUNWOODY RD STE 260Atlanta, GA 30342-1714
Mailing Address5667 Peachtree Dunwoody Rd Ste 260Atlanta, GA 30342-1714
Phone(404) 255-1030
Fax(678) 843-6619
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1366963175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN195570
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5667 PEACHTREE DUNWOODY RD STE 260, Atlanta, GA 30342
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Other Identifiers 1

Medicaid003202496AGA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SRIJITA KUMAR M.D.
Internal Medicine (Nephrology)
5667 PEACHTREE DUNWOODY RD STE 260
ATLANTA, GA 30342
Fulton County (404) 255-1030
SUSAN C HILL M.D.
Internal Medicine (Nephrology)
5667 PEACHTREE DUNWOODY RD STE 260
ATLANTA, GA 30342
Fulton County (404) 255-1030
SARAH CUBAS
Nurse Practitioner (Family)
5667 PEACHTREE DUNWOODY RD STE 260
ATLANTA, GA 30342
Fulton County (404) 255-1030
ATLANTA KIDNEY CARE LLC
Internal Medicine (Nephrology)
5667 PEACHTREE DUNWOODY RD STE 260
ATLANTA, GA 30342
Fulton County (404) 255-1030
LANANH THI NGUYEN AGACNP-BC, DNP
Nurse Practitioner (Acute Care)
5667 PEACHTREE DUNWOODY RD STE 260
ATLANTA, GA 30342
Fulton County (404) 255-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettia Mathurin's NPI number?

The NPI number for Kettia Mathurin is 1366963175. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Kettia Mathurin located?

Kettia Mathurin practices at 5667 Peachtree Dunwoody Rd Ste 260, Atlanta, GA 30342. The listed phone number is (404) 255-1030.

What is Kettia Mathurin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kettia Mathurin was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.