Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaketta Ethridge

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467320481

Chaketta Ethridge is a Nurse Practitioner in Mobile, Alabama. Qualified in 2024, 2 years ago. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2025

Practice location Address checks out

1015 Montlimar Dr
Mobile, AL 36609-1713
Phone: (251) 660-2360
Fax: (251) 706-5597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1-161631 (AL)

Record details

NPI number1467320481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2521 Greenlawn Dr, Mobile, AL 36605-5230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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