MRS. DALTREY ANNE TYREE (NPI# 1619968542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619968542 |
| Entity Type | Individual |
| Full Name | MRS. DALTREY ANNE TYREE |
| Credential | PMHNP, APRN |
| Practice Address |
1911b Scottsville Rd Bowling Green KY 42104-3303 |
| Mailing Address |
1300 Andrea St Ste 205 Bowling Green KY 42104-3382 |
| Practice Telephone | 2704213397 |
| Mailing Telephone | 2702054585 |
| Mailing Fax Number | 2709367333 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4688P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3004688 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100579550 | 05 | |
| AZ | 554523 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Andrea St Ste 205, Bowling Green, KY 421043382 | 2702054585 | 2709367333 |
| Street Address |
1911B SCOTTSVILLE RD |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695461 | Steven Allen Tyree | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2019-02-12 |
| 1477074110 | Barnett Counseling, Inc. | Social Worker | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2017-07-03 |
| 1912358359 | Jessica R Humphrey | Social Worker | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2016-06-27 |
| 1871709188 | Kathyrn Hall | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2007-05-15 |
| 1841327160 | Kathy Roepke | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2007-02-27 |
| 1245367572 | Elizabeth Georganne Stepp | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2007-02-27 |
| 1326175746 | Roepke & Roepke, LLC | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2007-02-27 |
| 1902933245 | Rick Roepke | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1851951818 | John Paul Palmer | Nurse Practitioner | 1608 Glendale Dr, Bowling Green, KY 42104-3133 | 2019-06-20 |
| 1710375050 | Cheryl R Gore | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2015-01-08 |
| 1427146950 | Cindy S Lemon | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2006-10-10 |
| 1720616212 | Onyx Regent Health & Wellness, LLC | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2020-03-30 |
| 1912545468 | Rachel Elizabeth Roberts | Nurse Practitioner | 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 | 2019-12-16 |
| 1457995839 | Johnna Marr | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2019-10-29 |
| 1811549413 | Alicia Velma Karam | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2019-07-12 |
| 1679032981 | Gore Behavioral Care, LLC | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2019-03-16 |
| 1801395967 | Mary Kimberly Green | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2018-02-05 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on MRS. DALTREY ANNE TYREE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.