Active NPI
Tee Moe
- Community Health Worker
- Bowling Green, KY
National Provider Identifier
1083564280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- KCCHW12512845
- Practice address
- 2815 Russellville Rd
Bowling Green, KY 42101-3960 - Phone
- (270) 938-1020
- Fax
- (270) 938-1018
- NPI assigned
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | KCCHW12512845 | KY | Primary |
Addresses
Primary practice location
2815 Russellville Rd
Bowling Green, KY 42101-3960
Mailing address
2815 Russellville Rd
Bowling Green, KY 42101-3960
Phone (270) 938-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KCCHW12512845 | KY | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky Steps LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1083564280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013960",
"telephone_number": "270-938-1020",
"fax_number": "270-938-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013960",
"telephone_number": "270-938-1020",
"fax_number": "270-938-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOE",
"first_name": "TEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "KY",
"license": "KCCHW12512845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.