Tele Nurse Practitioner, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TELE NURSE PRACTITIONER, PLLC

Practice address

5503 E US Highway 62
Beaver Dam, KY 42320-8945

Phone

(270) 532-3170

Fax

(835) 777-1962

NPI assigned

Apr 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Gay Cooney, APRNNPI 1932861994

Title

Owner/Ceo

Phone

(270) 363-4458

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Gay Cooney, APRN, FNP-BC

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1932861994
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1346182425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE R",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "270-532-3170",
            "fax_number": "835-777-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 E US HIGHWAY 62",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208945",
            "telephone_number": "270-532-3170",
            "fax_number": "835-777-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE NURSE PRACTITIONER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "270-363-4458",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joan Steiner, OTR/L
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• Randall Keith Thorpe, PHARMD
• Amy Nicole Tichenor, PHARMD
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• Kristen Utley, OTR

• Urgent Care Clinic/Center in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Urgent Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.