BOWLING GREEN PSYCHIATRY
NPI 1861099269
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, KY

Active since October 08, 2020
730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101(270) 715-0665(270) 550-2008 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Feb 19, 2025, Apr 13, 2021 and 2 more (5 updates tracked since 2020).

About Bowling Green Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOWLING GREEN PSYCHIATRY (NPI 1861099269) is a healthcare organization registered as a psychiatric/mental health in Bowling Green, Kentucky and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Bowling Green and lists Daltrey Anne Tyree, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1861099269
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBOWLING GREEN PSYCHIATRY
Location Address730 FAIRVIEW AVE STE B3Bowling Green, KY 42101-2365
Mailing Address730 Fairview Ave Ste B3Bowling Green, KY 42101-2365 · (270) 715-0665 · Fax (270) 550-2008
Fax(270) 550-2008
Organization SubpartNo
Authorized OfficialDaltrey Anne TyreeOwner, Provider · (270) 421-3397
Enumeration DateOctober 8, 2020
Last NPPES UpdateOctober 19, 20255 updates tracked since enumeration
NPPES CertifiedOctober 19, 2025
NPI 1861099269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
730 FAIRVIEW AVE STE B3, Bowling Green, KY 42101

Secondary Practice Location 1

Location 11911 Scottsville Rd Ste BBowling Green, KY 42104-3303 · Phone (270) 421-9937 · Fax (270) 550-2008

Other Identifiers 1

Medicaid7100697650KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
730 FAIRVIEW AVE STE B3
BOWLING GREEN, KY 42101
Nurse Practitioner (Psychiatric/Mental Health)
730 FAIRVIEW AVE STE B3
BOWLING GREEN, KY 42101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bowling Green Psychiatry's NPI number?

The NPI number for Bowling Green Psychiatry is 1861099269. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Bowling Green Psychiatry located?

Bowling Green Psychiatry is located at 730 Fairview Ave Ste B3, Bowling Green, KY 42101. The listed phone number is (270) 715-0665.

What is Bowling Green Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bowling Green Psychiatry was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.