CHAKETTA ETHRIDGE
NPI 1467320481
Nurse Practitioner - Psychiatric/Mental Health in Mobile, AL

Q: What is Chaketta Ethridge's NPI number?

The NPI number for Chaketta Ethridge is 1467320481. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Q: What is Chaketta Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Chaketta Ethridge was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since October 29, 2025PECOS Enrolled

1015 MONTLIMAR DR, MOBILE, AL 36609(251) 660-2360(251) 706-5597 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Chaketta Ethridge NPPES

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

CHAKETTA ETHRIDGE (NPI 1467320481) is an individual psychiatric/mental health provider in Mobile, Alabama, licensed in Alabama (1-161631) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467320481

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHAKETTA ETHRIDGE

Location Address1015 MONTLIMAR DRMobile, AL 36609-1713

Mailing Address2521 Greenlawn DrMobile, AL 36605-5230 · (251) 660-2360 · Fax (251) 706-5597

Phone(251) 660-2360

Fax(251) 706-5597

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 29, 2025

Last NPPES UpdateNovember 25, 2025

NPPES CertifiedNovember 25, 2025

✔ NPI 1467320481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AL · 1-161631

1015 MONTLIMAR DR, Mobile, AL 36609

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaketta Ethridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921592171

PECOS Enrollment IDI20251215001925

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SHANTHI GATLA MD

Psychiatry & Neurology (Psychiatry)

1015 MONTLIMAR DR, A-210
MOBILE, AL 36609

Mobile County (251) 450-4359

MRS. ASHLEY BLOUNT MA

Counselor (Mental Health)