| Abode Care Partners | |
|
805 N Whittington Pkwy Louisville KY 40222-5186 | |
| (502) 394-2100 | |
| Not Available |
| Full Name | Abode Care Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 N Whittington Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | William Mills (PRESIDENT) |
| Authorized Official Contact | 8008660860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abode Care Partners 805 N Whittington Pkwy Louisville KY 40222-5186 Ph: (502) 394-2100 | Abode Care Partners 805 N Whittington Pkwy Louisville KY 40222-5186 Ph: (502) 394-2100 |
| NPI Number | 1700323987 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 4981767597 |
|---|---|
| Medicare Enrollment ID | O20170314000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700323987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Katherine Byron Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871910794 PECOS PAC ID: 0244463818 Enrollment ID: I20140506001136 |
| Provider Name | Robin Lavonne Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179800 PECOS PAC ID: 0345554309 Enrollment ID: I20150804004989 |
| Provider Name | Tracy S Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942676697 PECOS PAC ID: 0345540035 Enrollment ID: I20151202001615 |
| Provider Name | Misty Nicole Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583448 PECOS PAC ID: 0749580231 Enrollment ID: I20151207001057 |
| Provider Name | Inez Elisa Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689038010 PECOS PAC ID: 0244525848 Enrollment ID: I20160822001570 |
| Provider Name | Christopher Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881087658 PECOS PAC ID: 8921375494 Enrollment ID: I20170815001530 |
| Provider Name | Savannah Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750877353 PECOS PAC ID: 2668729542 Enrollment ID: I20180724001100 |
| Provider Name | Kristen Gayle Fenwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699259275 PECOS PAC ID: 3678827862 Enrollment ID: I20181106001783 |
| Provider Name | Abraham Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20200520003009 |
| Provider Name | Joann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165989 PECOS PAC ID: 3577974674 Enrollment ID: I20201120001677 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20210112003217 |
| Provider Name | Keiko Honda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396163705 PECOS PAC ID: 1254554124 Enrollment ID: I20210326002130 |
| Provider Name | Laura A Leuenberger-banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679807911 PECOS PAC ID: 7113068156 Enrollment ID: I20210903001750 |
| Provider Name | Brittany Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316661440 PECOS PAC ID: 3173990330 Enrollment ID: I20221101003312 |
| Provider Name | Robin Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063173417 PECOS PAC ID: 7315332863 Enrollment ID: I20230118002010 |
| Provider Name | Bailey Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427639731 PECOS PAC ID: 2062814593 Enrollment ID: I20230728001868 |
| Provider Name | Omar Ramos Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594167 PECOS PAC ID: 9638427396 Enrollment ID: I20230823004629 |
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