Bowling Green Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BOWLING GREEN PSYCHIATRY

Practice address

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

Phone

(270) 715-0665

Fax

(270) 550-2008

NPI assigned

Oct 8, 2020

Last updated

Oct 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daltrey Anne Tyree, APRNNPI 1619968542

Title

Owner, Provider

Phone

(270) 421-3397

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daltrey Anne Tyree, PMHNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
  • NPI 1619968542
  Medicare reassignment Care Compare group NPD Authorized official
• Shelly Geary, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, KY
  • NPI 1770906513
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760832000000",
    "number": "1861099269",
    "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 Scottsville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043303",
            "country_code": "US",
            "telephone_number": "270-421-9937",
            "fax_number": "270-550-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOWLING GREEN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "DALTREY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "270-421-3397",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100697650",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Credentialing@bgpsychiatry.com",
            "affiliation": "N",
            "address_1": "1911 Scottsville Rd Ste B",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Bowling Green Warren County Community Hospital Corp. (The Medical Center Licensed Clinical Social Workers Nursing Home Progr)
• Bowling Green Warren County Community Hospital Corporation (The Medical Center (Outpatient Behavioral Health Services))
• Bowling Green Warren County Community Hospital Corporation (The Medical Center Health and Wellness Center)
• Bowling Green Warren County Community Hospital Corporation (The Medical Center)

• 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 Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.