Healthcare Provider Details

I. General information

NPI: 1902196652
Provider Name (Legal Business Name): KATIE ELISABETH RATTRAY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW STE 675
ATLANTA GA
30309-1612
US

IV. Provider business mailing address

35 COLLIER RD NW STE 675
ATLANTA GA
30309-1612
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN242397
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAL 1-116844
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberR890561
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: