| Athena Health And Wellness Pllc | |
|
2515 7th Street Rd Louisville KY 40208-1070 | |
| (502) 425-7659 | |
| (502) 425-7658 |
| Full Name | Athena Health And Wellness Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2515 7th Street Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Angelete Moreland (IRECTOR) |
| Authorized Official Contact | 5028048003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Health And Wellness Pllc 2515 7th Street Rd Louisville KY 40208-1070 Ph: (502) 618-0321 | Athena Health And Wellness Pllc 2515 7th Street Rd Louisville KY 40208-1070 Ph: (502) 425-7659 |
| NPI Number | 1922492230 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 07/13/2025 |
| Certification Date | 07/13/2025 |
| Medicare PECOS PAC ID | 3577881077 |
|---|---|
| Medicare Enrollment ID | O20150413002602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922492230 | NPI | - | NPPES |
| 5679922 | Other | KY | AETNA |
| 50086582 | Other | KY | PASSPORT |
| 000000932983 | Other | KY | ANTHEM |
| 50094140 | Other | KY | PASSPORT |
| 7100351080 | Medicaid | KY |
| Provider Name | Taneka C Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912184714 PECOS PAC ID: 9537300355 Enrollment ID: I20130720000161 |
| Provider Name | Carrie L.y. Thonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730299504 PECOS PAC ID: 5395063895 Enrollment ID: I20150413002614 |
| Provider Name | Ashley D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912154436 PECOS PAC ID: 4486972981 Enrollment ID: I20150413002617 |
| Provider Name | Joanne M Missi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586029 PECOS PAC ID: 1355671793 Enrollment ID: I20190926002662 |
| Provider Name | Valenchia Quilleryne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124661723 PECOS PAC ID: 2264867969 Enrollment ID: I20200125000233 |
| Provider Name | Tonjalia Laura Tyus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639942022 PECOS PAC ID: 0244773844 Enrollment ID: I20240624004755 |
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