| Healthy Living Health Clinic | |
|
4400 Breckenridge Ln Ste 147 Louisville KY 40218 | |
| (502) 243-7383 | |
| (800) 214-6418 |
| Full Name | Healthy Living Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4400 Breckenridge Ln Ste 147, Louisville, Kentucky |
| Authorized Official Name and Position | Vishnukant Joshi (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5029384715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Health Clinic 4400 Breckenridge Ln Ste 147 Louisville KY 40218-4175 Ph: (502) 243-7383 | Healthy Living Health Clinic 4400 Breckenridge Ln Ste 147 Louisville KY 40218 Ph: (502) 243-7383 |
| NPI Number | 1760979124 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 3375808900 |
|---|---|
| Medicare Enrollment ID | O20180531000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760979124 | NPI | - | NPPES |
| Provider Name | Vishnukant Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235319187 PECOS PAC ID: 1355529892 Enrollment ID: I20110701000213 |
| Provider Name | Tiffany Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518234491 PECOS PAC ID: 8820256076 Enrollment ID: I20120220001048 |
| Provider Name | Kortney R Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861914582 PECOS PAC ID: 8022360593 Enrollment ID: I20181010003463 |
| Provider Name | Jason W Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659991313 PECOS PAC ID: 2860804374 Enrollment ID: I20201207001649 |
| Provider Name | Yoandis Morales Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841076551 PECOS PAC ID: 1951757897 Enrollment ID: I20231027002819 |
| Provider Name | Angela Quincy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841068905 PECOS PAC ID: 0143673277 Enrollment ID: I20240125001041 |
| Provider Name | Yovondya Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629432208 PECOS PAC ID: 5092005686 Enrollment ID: I20240209002305 |
| Provider Name | Samjhana Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023870003 PECOS PAC ID: 0840634986 Enrollment ID: I20240216002929 |
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Mobile Md Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9510 Ormsby Station Road, Suite 100b, Louisville, KY 40223 Phone: 502-253-4140 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
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