THR Pediatrics & Wellness Center

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

THR PEDIATRICS & WELLNESS CENTER

Practice address

7098 Distribution Dr Ste a
Louisville, KY 40258-2879

Phone

(502) 749-8019

Fax

(833) 755-1833

NPI assigned

Jun 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyeshia Chlotiel Halsell Richards, DMSC, PA-C

Title

Pediatric Physician Assistant

Phone

(502) 500-8955

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24213/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyeshia Halsell Richards, PA-C

  • Medical Physician Assistant
  • Louisville, KY
  • NPI 1760639421
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1184293862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 BROOKS BEND RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402584638",
            "telephone_number": "502-749-8019",
            "fax_number": "833-755-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7098 DISTRIBUTION DR STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582879",
            "telephone_number": "502-749-8019",
            "fax_number": "833-755-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THR PEDIATRICS & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "HALSELL RICHARDS",
        "authorized_official_first_name": "TYESHIA",
        "authorized_official_middle_name": "CHLOTIEL",
        "authorized_official_title_or_position": "PEDIATRIC PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "502-500-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100773670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kallee Thornton, ATC
• Rawan Salman Thornton
• Thorntonmd Cosmetic Surgery Center
• Thoroughbred Chiropractic (Thoroughbred Chiropractic Neurology)
• Jessie Rose Thorup, PA
• Bradly Jackson Thrasher, D.O.
• Jenny M Thrasher, MSCFY INTERIM LICEN
• Sherrissa Threat
• Lee Carol Threatt
• Brooke M Threlkeld, PSYD

• Medical Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.