Active NPI
Tyne Amos, LCSW
- Social Worker
- Soldotna, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 234429
- Practice address
- 245 N Binkley St Ste 202
Soldotna, AK 99669-7500 - Phone
- (907) 741-4521
- NPI assigned
- Jun 18, 2019
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 234429 | AK | Primary |
Addresses
Primary practice location
245 N Binkley St Ste 202
Soldotna, AK 99669-7500
Mailing address
245 N Binkley St Ste 202
Soldotna, AK 99669-7500
Phone (907) 741-4521
Other practice location 1
1351 Newtown Pike Bldg 1
Lexington, KY 40511-1277
Phone (859) 253-1686
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TAMOS4506294@akprovidencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW22079 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartlett Regional Hospital | Current | Accepting new patients |
Locations
3240 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8435
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
Networks
- HI PPO
- WA PPO C-SNP
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Physicians Services
- Multi-Specialty Clinic/Center
- Juneau, AK
- NPI 1154331734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1063072486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N BINKLEY ST STE 202",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697500",
"telephone_number": "907-741-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N BINKLEY ST STE 202",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697500",
"telephone_number": "907-741-4521"
}
],
"practiceLocations": [
{
"address_1": "1351 Newtown Pike Bldg 1",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405111277",
"country_code": "US",
"telephone_number": "859-253-1686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMOS",
"first_name": "TYNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "234429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TAMOS4506294@akprovidencedirect.org",
"affiliation": "N",
"address_1": "245 N Binkley St Ste 202",
"city": "Soldotna",
"state": "AK",
"country_code": "US",
"postal_code": "996697500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.