Daltrey Anne Tyree, PMHNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3004688 Issued in KY

Practice address

730 Fairview Ave Ste B3
Bowling Green, KY 42101-2365

Phone

(270) 715-0665

Fax

(270) 550-2008

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bowling Green PsychiatryGroup PAC ID 2860803061, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bowling Green Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
  • NPI 1861099269
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1619968542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVE STE B3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012365",
            "telephone_number": "270-715-0665",
            "fax_number": "270-550-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVE STE B3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012365",
            "telephone_number": "270-715-0665",
            "fax_number": "270-550-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 B Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043303",
            "country_code": "US",
            "telephone_number": "270-421-3397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Scottsville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043303",
            "country_code": "US",
            "telephone_number": "270-421-3397",
            "fax_number": "270-550-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYREE",
        "first_name": "DALTREY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4688P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3004688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554523",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100579550",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "credentialing@bgpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Daltrey Tyree",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1911B Scottsville Rd",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Wynette Turpin, SLP
• Leslie Kinsey Tutt, MD
• Sherry T Tyger, LCSW
• Karina Tyler
• Roy Nando Tyler, CSA
• Julie Taylor Tyree, MD
• Steven Allen Tyree
• Uhs of Bowling Green LLC
• Kelechi Joseph Uju, MD
• Almira M. Ulat, PT

• Psychiatric/Mental Health Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.

Verify at the official NPI Registry.