Tyeshia Halsell Richards, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1121 Issued in KY

Practice address

7098 Distribution Dr
Ste a
Louisville, KY 40258-2879

Phone

(502) 749-8019

Fax

(833) 755-1833

NPI assigned

Aug 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24213/brand/1/csg/1/fhir/r4
• Direct secure messaging: tyeshia.richards.1@24213.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• THR Pediatrics & Wellness Center

  • Medical Physician Assistant
  • Louisville, KY
  • NPI 1184293862
  NPD

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1760639421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7098 DISTRIBUTION DR",
            "address_2": "STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582879",
            "telephone_number": "502-749-8019",
            "fax_number": "833-755-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "TYESHIA",
        "middle_name": "HALSELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100212250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Lee Richards, APRN
• Samantha Richards
• Sarah Nicole Richards, PA
• Stephen J Richards, M.D,
• Stephen W Richards, M.D.
• Brittany Ceris Richardson
• Brittney Mykeia Richardson, M.D.
• Christine Richardson, PHARM.D.
• Christopher Matthew Richardson
• Erin Young Richardson, M.A.

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.