KETHIA SHANELLE WASHINGTON NP
NPI 1376891267
Nurse Practitioner - Primary Care in Cleveland, OH

Active since August 27, 2012
94.05/100
CMS Quality Rating
10701 EAST BLVD, CLEVELAND, OH 44106(216) 791-3800 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Dec 12, 2019 (2 updates tracked since 2019).

About Kethia Shanelle Washington Np NPPES

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

KETHIA SHANELLE WASHINGTON NP (NPI 1376891267) is an individual primary care provider in Cleveland, Ohio, licensed in Georgia (RN204948) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1376891267
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKETHIA SHANELLE WASHINGTONCredential: NP
Location Address10701 EAST BLVDCleveland, OH 44106-1702
Mailing Address10701 East BlvdCleveland, OH 44106-1702 · (216) 791-3800
Sole ProprietorNo
Enumeration DateAugust 27, 2012
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1376891267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · RN204948
Also ListedRegistered NurseTaxonomy 163W00000X · License 204948 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN204948 (GA)
10701 EAST BLVD, Cleveland, OH 44106

Other Names 1

Former Name (1)Kethia Moultrie

Other Identifiers 1

Medicaid000456486AGA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Registered Nurse
10701 EAST BLVD
CLEVELAND, OH 44106
Recreation Therapist
10701 EAST BLVD, 5M-690E EUL
CLEVELAND, OH 44106
Nurse Practitioner (Primary Care)
10701 EAST BLVD
CLEVELAND, OH 44106
Respiratory Therapist, Registered
10701 EAST BLVD
CLEVELAND, OH 44106
Registered Nurse (Emergency)
10701 EAST BLVD
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
10701 EAST BLVD
CLEVELAND, OH 44106
Internal Medicine
10701 EAST BLVD
CLEVELAND, OH 44106
Nurse Practitioner (Adult Health)
10701 EAST BLVD, (W)111
CLEVELAND, OH 44106

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 Kethia Washington's NPI number?

The NPI number for Kethia Washington is 1376891267. It was assigned to this individual provider in the NPPES registry on August 27, 2012. The provider is also known as Kethia Moultrie.

Where is Kethia Washington located?

Kethia Washington practices at 10701 East Blvd, Cleveland, OH 44106. The listed phone number is (216) 791-3800.

What is Kethia Washington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kethia Washington was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.