Tina Anderson
Individual provider Active NPI Peer Specialist · Bowling Green, KY
NPI 1861884850 · NPPES record last updated Feb 27, 2015
Key facts
- NPI
- 1861884850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 380 Suwannee Trail St
Bowling Green, KY 42103-7956 - Phone
- (270) 901-5000
- Fax
- (270) 842-5268
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other providers in Bowling Green, KY
- Elise Dashae Anderson
- Lauren Anderson
- Nancy Anderson
- Nikki Lynn Anderson
- Stephanie Anderson
- Andrew M Burt DMD PSC
- Anesthesia & Pain Specialists of Bowling Green PLC
- Anesthesia Services Associates
- Anesthesia Services Associates PLLC
- Anesthesia Services Associates, PLLC.
All providers in Bowling Green, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.