KEYATTA LACKEY CPNP NPI 1417187287

NPI Information

  • NPI: 1417187287
  • Provider Name: KEYATTA LACKEY, CPNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 1405 CLIFTON RD NE
    ATLANTA, GA
    ZIP 30322
  • Phone: (404) 785-6330

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NPI Details

Keyatta Lackey, CPNP is an acute care nurse practitioner in Atlanta, GA. Keyatta Lackey, CPNP NPI is 1417187287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-060
Phone: (404) 785-6330
Fax: (404) 785-6266

The enumeration date for this NPI number is 7/15/2009 and was last updated on 6/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN289907GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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